Marc Jon Baumgartner MD

NPI 1467673012 - Family Medicine - 207Q00000X

NPI Details
NPI 1467673012
Gender Male
Enumeration Date 05/01/2007
Last Updated 08/23/2012
Entity Type Individual
Active Over 9 years ago
Practice Location
580 RICE ST.
ST. PAUL MN, 55102, US
Phone (480) 216-6326
Fax
Business Location
26 10TH ST. W. #505
ST. PAUL MN, 55102, US
Phone (480) 216-6326
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Minnesota
License Number 49666
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According to our database, Dr. Marc Jon Baumgartner MD NPI is 1467673012, taxonomy code is 207Q00000X and license number is 49666, license state is located at Minnesota. Marc Jon Baumgartner MD physically located at 580 Rice St., St. Paul MN, 55102. NPI Number Marc Jon Baumgartner MD has the Individual type.

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1467673012 NPI number is provided on an as is basis without warranty of any kind. 1467673012 is maintained by the National Plan & Provider Enumeration System. The contents of Marc Jon Baumgartner MD are for informational purposes only.