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Individual

JOHN WILDER BAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M D

Contact information

Practice address
7300 LAKESHORE DR APT 4, NEW ORLEANS, LA 70124-2461
(501) 247-4887
(504) 541-9201
Mailing address
7300 LAKESHORE DR APT 4, NEW ORLEANS, LA 70124-2461
(501) 247-4887
(504) 541-9201

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
311310
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
53892
BLUE CROSS BLUE SHIELD
AR
Enumeration date
01/11/2006
Last updated
01/26/2023
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