Individual
MR. MICHAEL JOHN BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
4502 LT EUGENE J MAJURE DR, PASCAGOULA, MS 39581-5305
(228) 696-9224
(228) 696-9228
Mailing address
9066 FIELD BROOK CIR N, MOBILE, AL 36695-9332
(251) 370-3007
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
903366
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02125328
—
MS
Enumeration date
06/11/2019
Last updated
05/17/2022
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