Individual
BRANDON BAUMGARTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7299 TOWN AND COUNTRY PL, HAZELWOOD, MO 63042-1929
(219) 629-0982
Mailing address
7299 TOWN AND COUNTRY PL, HAZELWOOD, MO 63042-1929
(219) 629-0982
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2013032834
MO
Other
Enumeration date
04/22/2016
Last updated
04/22/2016
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