Individual
WYLIN BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
102 MAJOR ALLEN ST, MARTIN, SD 57551-6005
(605) 685-6622
Mailing address
PO BOX 70, MARTIN, SD 57551-0070
(605) 280-8337
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1573
SD
Other
Enumeration date
11/20/2024
Last updated
11/20/2024
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