Individual
DR. SHAWNA BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2500 FAIRWAY ST, DICKINSON, ND 58601-2639
(701) 456-4000
(701) 456-4800
Mailing address
2500 FAIRWAY ST, DICKINSON, ND 58601-2639
(701) 456-4000
(701) 456-4800
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
14756
ND
207Q00000X
Family Medicine Physician
8002
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1471958
—
ND
Enumeration date
05/12/2006
Last updated
05/08/2018
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