Provider Demographics
NPI:1598738262
Name:BAAK, STEVEN W (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:W
Last Name:BAAK
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3440 DE PAUL LN
Mailing Address - Street 2:SUITE 113
Mailing Address - City:BRIDGETON
Mailing Address - State:MO
Mailing Address - Zip Code:63044-3545
Mailing Address - Country:US
Mailing Address - Phone:314-942-6464
Mailing Address - Fax:314-492-4636
Practice Address - Street 1:3440 DE PAUL LN
Practice Address - Street 2:SUITE 113
Practice Address - City:BRIDGETON
Practice Address - State:MO
Practice Address - Zip Code:63044-3545
Practice Address - Country:US
Practice Address - Phone:314-942-6464
Practice Address - Fax:314-492-4636
Is Sole Proprietor?:No
Enumeration Date:2006-02-10
Last Update Date:2016-02-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO105235207R00000X, 207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO012013572Medicare ID - Type Unspecified
MO110223997OtherRAILROAD MEDICARE
MOF12795Medicare UPIN