Provider Demographics
NPI:1518080886
Name:BAKER, JULIA ALLISON (DO)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:ALLISON
Last Name:BAKER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1001 E SUPERIOR ST
Mailing Address - Street 2:STE. L101
Mailing Address - City:DULUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55802-2207
Mailing Address - Country:US
Mailing Address - Phone:218-249-3081
Mailing Address - Fax:218-249-7875
Practice Address - Street 1:1001 E SUPERIOR ST
Practice Address - Street 2:STE. L101
Practice Address - City:DULUTH
Practice Address - State:MN
Practice Address - Zip Code:55802-2207
Practice Address - Country:US
Practice Address - Phone:218-249-3081
Practice Address - Fax:218-249-7875
Is Sole Proprietor?:No
Enumeration Date:2007-04-09
Last Update Date:2012-10-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI5101014947207RH0003X
MN50600207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology