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Organization

BAKER FOOT SOLUTIONS CORP

Active
Other names
North Foot & Ankle Center
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL J BAKER DPM (PRESIDENT DIRECTOR)
(317) 863-2556
Entity
Organization

Contact information

Practice address
7330 E 82ND ST, SUITE A, INDIANAPOLIS, IN 46256-1465
(317) 712-3708
(317) 712-3798
Mailing address
PO BOX 330, FORTVILLE, IN 46040-0330
(317) 863-2556
(317) 203-0420

Taxonomy

Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
07001159A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DD2888
RR MEDICARE
IN
Enumeration date
07/29/2016
Last updated
03/17/2017
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