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Individual

STANLEY L BAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1315 HOSPITAL DR, ST JOHNSBURY, VT 05819-9210
(802) 748-8141
Mailing address
74 PLEASANT ST, STE 204, NEW LONDON, NH 03257-5881
(802) 748-8141

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
042-0008827
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0VN0767
VT
05
3079021
NH
Enumeration date
08/14/2006
Last updated
01/10/2017
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