Individual
MARI AGNES BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HIS
Contact information
Practice address
3180 N 124TH ST, WAUWATOSA, WI 53222-4062
(414) 442-6000
(414) 442-8378
Mailing address
5200 WASHINGTON AVE, SUITE 102, RACINE, WI 53406-4238
(414) 442-6000
(414) 442-8378
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
1120
WI
237700000X
Hearing Instrument Specialist
HA-1057
ID
Other
Enumeration date
04/12/2007
Last updated
10/27/2015
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