Dr. William R Baker IV
Oral and Maxillofacial Surgeon
1903 S 6th St
Brainerd
, Minnesota 56401-4599
Dr. William R Baker IV
Oral and Maxillofacial Surgeon
1903 S 6th St
Brainerd
, Minnesota 56401-4599
(218) 829-1729
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. William R Baker IV
- 1903 S 6th St
- Brainerd, MN
- Zip : 56401-4599
- Fax : (218) 829-1729
- Phone : (218) 829-1728
Second Address
- Dr. William R Baker IV
- 1903 S 6th St
- Brainerd, MN
- Zip : 56401-4599
- Fax : (218) 829-1729
- Phone : (218) 829-1728
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | D10467 | MN |
National Provider Identifier
| NPI | 1023098993 |
|---|---|
| Provider Name | Dr. William R Baker IV |
| First Address | Brainerd, MN 56401-4599 |
| Second Address | Brainerd, MN 56401-4599 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/01/2006 |
| Last Update Date | 13/01/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 150057 | UCARE (01) | MN |
| 15169 | DORAL DENTAL (01) | MN |
| 190006049 | RAILROAD MEDICARE (01) | MN |
| 537022100 | (05) | MN |
| 86-00410 | MEDICA MNCARE-DETROIT LK (01) | MN |
| 86-24258 | MEDICA MNCARE-BRAINERD (01) | MN |
| 86-24259 | MEDICA MNCARE-LITTLE FALL (01) | MN |
| 86-24260 | MEDICA MNCARE-BEMIDJI (01) | MN |
| U40888 | (02) | MN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.