Jordan Bradford Baker, MD
in Madison, WI. Individual provider (NPI-1).
NPI number1750166955
StatusActive
Last updated in NPPESJun 19, 2024
Details
- NPI
- 1750166955
- Entity type
- Individual (NPI-1)
- Name
- Jordan Bradford Baker
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 28, 2023
- Certification date
- Jun 19, 2024
- Last updated
- Jun 19, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2086S0129X | 101204 | WI | Yes |
Practice location
600 Highland AveMadison, WI 53792-1053
Phone 608-263-6400
Mailing address
600 Highland AveMadison, WI 53792-0001
Phone 608-263-6400
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