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Individual

SUSAN BAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1601 CENTER ST, STE 3S, MOBILE, AL 36604-1512
(251) 415-1496
(251) 415-1450
Mailing address
PO BOX 40480, MOBILE, AL 36640-0480
(251) 415-1496
(251) 415-1450

Taxonomy

Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
13126
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000088465
AL
05
009996830
AL
05
0124576
MS
05
1525081
LA
05
263864900
FL
01
51088465
BCBS
AL
01
51510632
BCBS
AL
01
51546559
BCBS-1707 CENTER, STE 101
AL
01
51593309
BCBS - 1720 CENTER ST
AL
01
74-10499
UNITED HEALTHCARE
AL
Enumeration date
05/10/2006
Last updated
02/16/2017
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