Michael Baker
Registered Nurse in Dayton, OH. Individual provider (NPI-1).
NPI number1417569005
StatusActive
Last updated in NPPESJan 16, 2023
Details
- NPI
- 1417569005
- Entity type
- Individual (NPI-1)
- Name
- Michael Baker
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 17, 2020
- Certification date
- Jan 16, 2023
- Last updated
- Jan 16, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | RN.518441 | OH | Yes |
Practice location
2611 Wayne AveDayton, OH 45420-1833
Phone 937-256-7801
Mailing address
4967 Woodman Park Dr Apt 3Dayton, OH 45432-1223
Phone 513-766-6450
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