Organization
BAKER FOOT SOLUTIONS CORP
Active
Other names
East Foot and Ankle Center
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL J BAKER DPM (OWNER/PRESIDENT)
(317) 863-2556
Entity
Organization
Contact information
Practice address
10122 E 10TH ST STE 230, INDIANAPOLIS, IN 46229-2664
(317) 898-6624
(317) 898-6636
Mailing address
PO BOX 330, FORTVILLE, IN 46040-0330
(317) 863-2556
(317) 203-0420
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000360213
BLUE CROSS
IN
05
—
200513150A
—
IN
01
—
DD2888
RR MEDICARE
IN
Enumeration date
07/05/2006
Last updated
08/26/2019
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