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Individual

MICHAEL ROGER BAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
595 CHAPEL HILLS DRIVE, STE 201, COLORADO SPRINGS, CO 80920
(719) 475-9613
(719) 475-9539
Mailing address
595 CHAPEL HILLS DRIVE, STE 201, COLORADO SPRINGS, CO 80920
(719) 475-9613
(719) 475-9539

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
38892
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
660003294
RR MCR
CO
05
90102576
CO
Enumeration date
06/09/2005
Last updated
10/10/2014
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