Individual provider · Type 1 NPI

Michael Russell Baker, PA

Surgical Physician Assistant · Omaha, NE

NPI number 1659346047 Active

Practice location

11704 W Center Rd, Ste 200
Omaha, NE 68144-4375

Fax (402) 505-6249

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X196 (NE)

Surgical Physician Assistant: Definition to come...

14 other providers at this address

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About NPI 1659346047

Michael Russell Baker, PA's National Provider Identifier is 1659346047, issued on Feb 21, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Omaha, NE. The record was last updated on Feb 4, 2021.