Individual
STEPHEN TRENT BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10950 W CAPITOL DR, WAUWATOSA, WI 53222-1110
(414) 464-4460
(414) 464-7074
Mailing address
4425 N PORT WASHINGTON RD, ATTN: CSMCP CLINIC CREDENTIALING, GLENDALE, WI 53212-1082
(414) 464-4460
(414) 464-7074
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
26911
WI
Other
Enumeration date
02/14/2006
Last updated
06/04/2012
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