Individual
DAVID R BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
10620 CORPORATE DR, FORT WAYNE, IN 46845-1711
(260) 266-8392
(260) 266-8395
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10001134A
IN
Other
Enumeration date
08/28/2009
Last updated
11/15/2022
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