Individual
MICHAEL BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 HOSPITAL DR, WETUMPKA, AL 36092-1625
(334) 567-4311
Mailing address
6000 OTTER POINT RD, PENSACOLA, FL 32504-7954
(205) 835-7998
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
8528
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009998835
—
AL
01
—
51528416
BLUE CROSS
AL
Enumeration date
05/25/2006
Last updated
10/24/2013
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