Organization
BAKER BROOKLYN MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL IKECHI IKUNNAH (MANAGER)
(307) 554-7953
Entity
Organization
Contact information
Practice address
30 N GOULD ST STE R44866, SHERIDAN, WY 82801-6317
(130) 755-4795
Mailing address
30 N GOULD ST STE R44866, SHERIDAN, WY 82801-6317
(130) 755-4795
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
07/18/2025
Last updated
07/18/2025
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