Individual
DR. THOMAS G. BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1606 N 7TH ST, TERRE HAUTE, IN 47804-2706
(812) 238-7523
(812) 238-7003
Mailing address
250 N SHADELAND AVE, SUITE 130 - PROVIDER ENROLLMENT, INDIANAPOLIS, IN 46219-4959
(812) 238-7631
(317) 962-4343
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01076013A
IN
207Q00000X
Family Medicine Physician
01076013A
IN
Other
Enumeration date
06/11/2013
Last updated
02/17/2017
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