Individual
STACEY E BAKER
Active
Individual
STACEY E BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
227954
MA
207R00000X
Internal Medicine Physician
ME 103437
FL
207RI0200X
Infectious Disease Physician
Primary
ME103437
FL
Other
Enumeration date
05/30/2006
Last updated
09/20/2011
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