Individual
BRUCE C BAKER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
110 JEFFERSON ST, WEST UNION, IA 52175-1022
(563) 422-3817
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
(608) 775-4467
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
823
IA
Other
Enumeration date
06/02/2005
Last updated
07/08/2007
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