Michael L Baker Do Pa | |
129 S Main St Yazoo City MS 39194-4007 | |
(662) 746-8777 | |
Not Available |
Full Name | Michael L Baker Do Pa |
---|---|
Speciality | Family Medicine |
Location | 129 S Main St, Yazoo City, Mississippi |
Authorized Official Name and Position | Michael Leo Baker (PRESIDENT AND CEO) |
Authorized Official Contact | 6627468777 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Michael L Baker Do Pa 129 S. Main Street Yazoo City MS 39194 Ph: (662) 746-8777 | Michael L Baker Do Pa 129 S Main St Yazoo City MS 39194-4007 Ph: (662) 746-8777 |
NPI Number | 1568633543 |
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Provider Enumeration Date | 03/18/2008 |
Last Update Date | 11/12/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568633543 | NPI | - | NPPES |
09016054 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 15475 (Mississippi) | Primary |
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