Individual
DR. MICHAEL ALAN BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
103 N LAKE ST, MADISON, OH 44057-3115
(440) 428-2526
(440) 428-2526
Mailing address
103 N LAKE ST, MADISON, OH 44057-3115
(440) 428-2526
(440) 428-2526
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5838
OH
Other
Enumeration date
07/11/2009
Last updated
07/11/2009
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