Individual
TAMMY LYNN BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
501 STATE ST N, WASECA, MN 56093-2811
(507) 835-1210
Mailing address
1025 MARSH ST, MANKATO, MN 56001-4752
(507) 625-4031
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10996
MN
363AS0400X
Surgical Physician Assistant
10996
MN
Other
Enumeration date
09/29/2011
Last updated
11/21/2025
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