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Contact Information

JEFFREY D BAKER, MD
500 OSBORNE RD NE
SUITE 200
FRIDLEY, MN55432
 Phone: 763-236-2045
 Fax: 763-236-2044
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for JEFFREY D BAKER · (Male)

NPI # 1962597195
Status Active
Credentials MD
Entity Individual
Enumeration date 10/04/2006
Last updated 10/12/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 37592
  • MN Medicaid 221818600
Hospital affiliation(s)
  • RIDGEVIEW MEDICAL CENTER - (Acute Care)
    500 SOUTH MAPLE STREET
    WACONIA, MN 55387
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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