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Individual

MATTHEW W. BAKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
3901 FRANKLIN ST, MICHIGAN CITY, IN 46360-7314
(219) 878-6668
(219) 878-1918
Mailing address
207 LEEDS DR, VALPARAISO, IN 46383-2422
(219) 462-3679

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18002051B
IN

Other

Enumeration date
02/21/2007
Last updated
07/09/2007
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