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Individual
NICHOLAS MADAMA-BAUMGAERTEL
Active
Individual
NICHOLAS MADAMA-BAUMGAERTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-16067
NC
363AS0400X
Surgical Physician Assistant
0010-16067
NC
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/27/2024
Last updated
03/25/2026
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