Individual
JOSHUA MARK BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
3077 N MAYFAIR RD STE 305, WAUWATOSA, WI 53222-4305
(414) 643-4027
Mailing address
3077 N MAYFAIR RD STE 305, WAUWATOSA, WI 53222-4305
(414) 643-4027
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4735-23
WI
Other
Enumeration date
06/28/2019
Last updated
06/28/2019
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