Individual
JORDAN LAMBERT BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
4024 OAKLAND AVE, MINNEAPOLIS, MN 55407-3119
(760) 877-1965
Mailing address
4024 OAKLAND AVE, MINNEAPOLIS, MN 55407-3119
(760) 877-1965
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15101
MN
Other
Enumeration date
09/12/2022
Last updated
09/25/2024
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