Individual
MICHAEL E. BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1609 N STRONG BLVD, MCALESTER, OK 74501-3839
(918) 426-1322
Mailing address
1609 N STRONG BLVD, MCALESTER, OK 74501-3839
(918) 429-7701
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT133
OK
Other
Enumeration date
07/02/2012
Last updated
07/02/2012
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