Individual
MR. JOHN EDWARD BAUMGART
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
903 NORWOOD AVE, ANOKA, MN 55303-1430
(763) 422-4170
Mailing address
903 NORWOOD AVE, ANOKA, MN 55303
(763) 422-4170
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
LP3526
MN
Other
Enumeration date
04/06/2006
Last updated
07/09/2007
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