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NPI Code Detail

MEDICARE: MICHAEL EDWARD BALDWIN

MEDICARE: MICHAEL EDWARD BALDWIN
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
1101Y00000XCounselor

General Provider Information

NPI Number : 1881911501
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL EDWARD BALDWIN
Provider Business Mailing Address
First Line : 725 NE 36TH ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73105-7203
Country : US
Telephone Number : 405-924-1182
Fax Number :
Provider Business Practice Location Address
First Line : 725 NE 36TH ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73105-7203
Country : US
Telephone Number : 405-924-1182
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/21/2010
Last Update Date : 04/21/2010

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Directions to “ MICHAEL EDWARD BALDWIN ” Practice Location

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