Individual
JACK KENNETH BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(216) 444-2200
Mailing address
1444 CROSSINGS PKWY, WESTLAKE, OH 44145-6207
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
50.009812RX
OH
Other
Enumeration date
06/14/2025
Last updated
10/23/2025
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