Individual
DR. JEFFREY D BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 OSBORNE RD NE, SUITE 200, FRIDLEY, MN 55432
(763) 236-2045
(763) 236-2044
Mailing address
500 OSBORNE RD NE, SUITE 200, FRIDLEY, MN 55432-2765
(763) 236-2045
(763) 236-2044
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
37592
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
221818600
—
MN
Enumeration date
10/04/2006
Last updated
10/12/2012
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