Organization
REJUV MEDICAL, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOEL J BAUMGARTNER M.D (OWNER)
(320) 217-8480
Entity
Organization
Contact information
Practice address
901 3RD ST N, WAITE PARK, MN 56387-1964
(321) 217-8480
(320) 217-8490
Mailing address
901 3RD ST N, WAITE PARK, MN 56387-1964
(321) 217-8480
(320) 217-8490
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
43368
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
080012605
—
MN
01
—
64886800
DMERC SUPPLIER NUMBER
MN
Enumeration date
12/22/2008
Last updated
01/29/2020
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