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1659346047
MICHAEL RUSSELL BAKER
OMAHA, NE
NPI
1659346047
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant Surgical
(Licence: NE 196)
Enumeration Date
2006-02-21
Last Update Date
2021-02-04
Business Address
MR. MICHAEL RUSSELL BAKER PA
11704 W CENTER RD STE 200
OMAHA, NE 68144-4375
Phone number: 402-691-0500
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Mailing Address
MR. MICHAEL RUSSELL BAKER PA
11704 W CENTER RD STE 200
OMAHA, NE 68144-4375
Phone number: 402-691-0500
Copy
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