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Organization

BAKER FOOT SOLUTIONS CORP

Active
Other names
Marion Foot Center
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL J BAKER D.P.M. (PRESIDENT/DIRECTOR)
(317) 863-2556
Entity
Organization

Contact information

Practice address
330 N WABASH AVE STE 460A, MARION, IN 46952-2685
(765) 664-1413
(765) 664-2780
Mailing address
PO BOX 330, FORTVILLE, IN 46040-0330
(317) 863-2556
(317) 203-0420

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
07000796A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000360213
BLUE CROSS
IN
05
200513150D
IN
01
DD2888
RR MEDICARE
IN
Enumeration date
07/05/2006
Last updated
07/19/2012
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