Individual
BRYAN BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
16 W VIRGINIA ST, EVANSVILLE, IN 47710-1742
(812) 464-7816
Mailing address
16 W VIRGINIA ST, EVANSVILLE, IN 47710-1742
(812) 464-7816
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/18/2009
Last updated
06/18/2009
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