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1760596134
TIM BAKER
WASHINGTON, MO
NPI
1760596134
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MO 102932)
Enumeration Date
2006-08-19
Last Update Date
2007-07-08
Business Address
-- TIM BAKER MD
10 FRANKLIN ST
WASHINGTON, MO 63090
Phone number: 636-239-2741
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Mailing Address
-- TIM BAKER MD
3691 RUTGER AVE PROVIDER ENROLLMENT
ST LOUIS, MO 63110
Phone number: 314-977-6828
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