Individual
DAVID W BAUMBERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
304 W HAY ST, STE 312, DECATUR, IL 62526-6328
(217) 876-5600
(217) 876-5664
Mailing address
2300 N EDWARD ST, GSBLL, DECATUR, IL 62526-4163
(217) 876-5600
(217) 876-5664
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036068671
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036068671
—
IL
Enumeration date
04/26/2006
Last updated
08/20/2014
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