| 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 |
|---|---|
| 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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