Individual
DR. CHARLES MICHAEL BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2525 CHICAGO AVE, MINNEAPOLIS, MN 55404-4518
(612) 813-6000
Mailing address
2525 CHICAGO AVE, MINNEAPOLIS, MN 55404-4518
(612) 813-6000
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
37286
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32647300
—
WI
05
—
713717600
—
MN
Enumeration date
06/06/2006
Last updated
12/10/2019
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