Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 46517 | MN |
N | 207XS0106X | Orthopaedic Hand Surgeon | 46517 | MN |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 45617 | MN |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 46517 | MN |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 46517 | MN |
N | 207XX0801X | Orthopaedic Trauma Surgeon | 46517 | MN |
NPI | 1144290958 |
---|---|
Provider Name | Dr. Daniel L Baker |
First Address | Grand Rapids, MN 55744-3526 |
Second Address | Grand Rapids, MN 55744-3526 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/01/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0901369 | MEDICA (01) | MN |
131651 | U CARE (01) | MN |
268L3BA | BCBS (01) | MN |
982221041071 | PREFERRED ONE (01) | MN |
HP49325 | HEALTH PARTNERS (01) | MN |
I02049 | (02) | MN |
NO10804 | CHAMPUS (01) | MN |
P00142690 | RAILROAD MEDICARE (01) | MN |