MICHAEL RUSSELL BAKER

OMAHA, NE
NPI1659346047
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: NE  196)
Enumeration Date2006-02-21
Last Update Date2021-02-04
Business Address
Mr. MICHAEL RUSSELL BAKER PA
11704 W CENTER RD STE 200
OMAHA, NE 68144-4375
Phone number: 402-691-0500
Mailing 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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