GARY J BAKER — OIG Excluded Provider (PRESCOTT, MI, 1128b4)
GARY J BAKER — OIG Excluded Provider (PRESCOTT, MI, 1128b4) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: GARY J BAKER; Type: Individual; Provider category: PHYSICIAN ASSISTANT.
| Name | GARY J BAKER |
|---|---|
| Type | Individual |
| Provider category | PHYSICIAN ASSISTANT |
| City | PRESCOTT |
| State | MI |
| ZIP | 48756 |
| Exclusion authority | 1128b4 |
| Exclusion reason | License revocation, suspension, or surrender |
| Exclusion date | 1990-08-08 |
| Source | HHS-OIG LEIE |
$1499/mo
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