Organization
MICHAEL R BAKER MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL R BAKER MD (OWNER)
(719) 475-9613
Entity
Organization
Contact information
Practice address
215 PARKSIDE DRIVE, STE 200, COLORADO SPRINGS, CO 80910
(719) 475-9613
(719) 475-9539
Mailing address
215 PARKSIDE DRIVE, STE #200, COLORADO SPRINGS, CO 80910
(719) 475-9613
(719) 475-9539
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
38892
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
90102576
—
CO
Enumeration date
09/07/2007
Last updated
09/07/2007
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