Individual
MICHAEL D BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
200000714
NC
2085R0204X
Vascular & Interventional Radiology Physician
200000714
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891263T
—
NC
Enumeration date
12/07/2005
Last updated
10/08/2010
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