Individual
PAUL W BAUMERT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3500 UNIVERSITY BLVD, AMES, IA 50010-8676
(515) 239-3040
Mailing address
1801 HICKMAN RD, BROADLAWNS MEDICAL CENTER, DES MOINES, IA 50314-1505
(515) 282-2501
(515) 282-2502
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26867
IA
207QS0010X
Sports Medicine (Family Medicine) Physician
26867
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0439869
—
IA
05
—
1063408326
—
IA
01
—
19482
WELLMARK BCBS
IA
Enumeration date
09/22/2005
Last updated
02/01/2021
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