Individual
DR. THOMAS EUGENE BAKER I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1318 MINNICH RD, NEW HAVEN, IN 46774-2052
(260) 749-0407
Mailing address
4721 COLLBRAN CT, FORT WAYNE, IN 46835-4334
(260) 486-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18002262B
IN
Other
Enumeration date
01/10/2007
Last updated
03/19/2009
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