Individual
MR. BRANDON ALAN BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
I.D.C.
Contact information
Practice address
NSA CRANE MEDICAL DEPARTMENT BLDG 2516, 300 HWY 361, CRANE, IN 47446
(812) 854-4314
(812) 854-1339
Mailing address
879 CASSIDY LN, MITCHELL, IN 47446-5215
(812) 854-4314
(812) 854-1339
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
05/09/2007
Last updated
08/01/2007
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