Individual provider · NPI-1

Stephan Baker, MD

Plastic Surgery · Coral Gables, FL

NPI number1114011293
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1114011293
Entity type
Individual (NPI-1)
Name
Mr. Stephan Baker
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Oct 3, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208200000X Plastic SurgeryME53349FLYes

Practice location

4425 Ponce De Leon Blvd
Suite 200
Coral Gables, FL 33146

Phone 305-381-8837 · Fax 305-444-8556

Mailing address

4425 Ponce De Leon Blvd
Suite 200
Coral Gables, FL 33146

Phone 305-381-8837 · Fax 305-444-8556

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