Individual
DR. JOHN C. BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1978 MILTON BLVD, NEWTON FALLS, OH 44444-9793
(330) 872-1336
Mailing address
1978 MILTON BLVD, NEWTON FALLS, OH 44444-9793
(330) 872-1336
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34-003006
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0535531
—
OH
Enumeration date
01/14/2007
Last updated
07/08/2007
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