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Individual

PAUL N BAEK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
30352
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
104386046
MI
05
104445138
MI
05
104584893
MI
05
104807433
MI
01
140005936
RAILROAD
WI
01
1402100761
BCBS
MI
05
32381600
WI
01
P00032933
RAILROAD
MI
Enumeration date
06/18/2006
Last updated
04/21/2026
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