Provider Demographics
NPI:1689553729
Name:BAKER, ALEC MICHAEL (PA-C)
Entity type:Individual
Prefix:
First Name:ALEC
Middle Name:MICHAEL
Last Name:BAKER
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5107 E BLUERIDGE DR
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57110-5520
Mailing Address - Country:US
Mailing Address - Phone:605-951-1918
Mailing Address - Fax:
Practice Address - Street 1:111 E 10TH ST
Practice Address - Street 2:
Practice Address - City:DELL RAPIDS
Practice Address - State:SD
Practice Address - Zip Code:57022-1217
Practice Address - Country:US
Practice Address - Phone:605-428-5446
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-02
Last Update Date:2025-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant