Individual
CRAIG R BAUMGART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
EMILE @ 42ND ST, OMAHA, NE 68198-0001
(402) 552-6731
Mailing address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
31582
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7936
TEMPORARY EDUCATIONAL PERMIT (TEP)
NE
Enumeration date
06/02/2017
Last updated
09/13/2020
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