Individual
WILLIAM VANCE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1040 S. 70TH ST., TLS, MILWAUKEE, WI 53214
(414) 476-9675
(414) 615-0627
Mailing address
1040 S. 70TH ST., TLS, MILWAUKEE, WI 53214
(414) 476-9675
(414) 615-0627
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
23918020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30923800
—
WI
Enumeration date
07/18/2006
Last updated
03/07/2023
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