NPI 1114550985

Matthew Gene Kopp Baker, AAC

Practitioner Anesthesiologist Assistant La Crosse, WI

Practice location

Address: 1836 South Ave, La Crosse, WI 54601-5429
Phone: (608) 782-7300

Registered specialties

Anesthesiologist Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367H00000X Licence 158 (WI)

Other Anesthesiologist Assistant providers in Wisconsin →

Registry record

NPI: 1114550985
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Feb 2020
Record last updated: 19 Feb 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.