Individual
STEPHEN L BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2475 N PARK DR, SUITE 30, COLUMBUS, IN 47203-2200
(812) 314-0032
Mailing address
2475 N PARK DR, SUITE 30, COLUMBUS, IN 47203-2200
(812) 314-0032
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
01042283A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000193783
ANTHEM PROVIDER ID
IN
01
—
056443P
SIHO PROVIDER ID
IN
Enumeration date
05/30/2006
Last updated
07/13/2007
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