Individual
MICHAEL P BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
107 N PINE, PITTSBURG, KS 66762
(620) 232-7500
(620) 231-7501
Mailing address
107 N PINE, PO BOX 1628, PITTSBURG, KS 66762
(620) 232-7500
(620) 231-7501
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
04-24544
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
054383
BCBS INDIVIDUAL
KS
01
—
110440
BCBS GROUP
KS
Enumeration date
10/11/2006
Last updated
12/06/2007
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