Individual
DAVID BAUMGARTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
245 CHERRY ST SE, SUITE 306, GRAND RAPIDS, MI 49503-4607
(616) 913-8203
Mailing address
245 STATE ST SE, GRAND RAPIDS, MI 49503-4328
(616) 913-1818
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301047509
MI
207RI0200X
Infectious Disease Physician
Primary
4301047509
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2778065
—
MI
05
—
4120830
—
MI
05
—
4877160
—
MI
05
—
4879058
—
MI
Enumeration date
07/12/2006
Last updated
09/11/2025
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