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NPI Code Detail

MEDICARE: COLLEEN DIANE BAKER M.D.

MEDICARE:   COLLEEN DIANE BAKER  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician179-320WI
2207R00000XInternal Medicine Physician01080835AIN
3207R00000XInternal Medicine Physician2018029425MO
4207R00000XInternal Medicine Physician51797KY
5207R00000XInternal Medicine Physician15546ND
6207R00000XInternal Medicine Physician295094NY
7207R00000XInternal Medicine Physician64041MN
8207R00000XInternal Medicine Physician04-41692KS
9207R00000XInternal Medicine Physician11003SD
10207R00000XInternal Medicine PhysicianCDR.0000156CO
11207R00000XInternal Medicine PhysicianMD-45438IA
12207R00000XInternal Medicine Physician59150TN
13207R00000XInternal Medicine PhysicianMD22452ME
14207R00000XInternal Medicine Physician4301115893MI
15207R00000XInternal Medicine Physician25564NE

General Provider Information

NPI Number : 1083811400
Entity Type Code : Individual
Provider Name (Legal Business Name) : COLLEEN DIANE BAKER M.D.
Provider Business Mailing Address
First Line : 14011 BRUSH CREEK PL
Second Line :
City : ROCA
State : NE
Zip : 68430-4403
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 14011 BRUSH CREEK PL
Second Line :
City : ROCA
State : NE
Zip : 68430-4403
Country : US
Telephone Number : 402-354-4000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2007
Last Update Date : 07/30/2019

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Directions to “ COLLEEN DIANE BAKER M.D.” Practice Location

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