Individual
DR. BRIAN A BAXTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1326 E PERKINS AVE, SANDUSKY, OH 44870-5025
(419) 625-0654
(419) 621-1276
Mailing address
PO BOX 378, SANDUSKY, OH 44871-0378
(419) 609-1112
(419) 609-1123
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35063187
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080171555
MEDICARE RAILROAD
OH
05
—
0918565
—
OH
Enumeration date
05/11/2006
Last updated
09/18/2018
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