Individual
MR. STEPHEN WALTER BAKER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1100 DOUGLAS AVE, FPC YANKTON, YANKTON, SD 57078-3076
(605) 665-3262
Mailing address
904 SUMMIT ST, YANKTON, SD 57078-3437
(605) 665-4757
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0360
SD
Other
Enumeration date
07/17/2006
Last updated
07/08/2007
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