Individual
DR. JACOB CRAIG BAUMGARTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
306 W MCMILLAN ST, MARSHFIELD, WI 54449-6013
(715) 387-1702
Mailing address
800 HERITAGE DR APT 7, MARSHFIELD, WI 54449-9116
(515) 508-1050
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1001860-15
WI
Other
Enumeration date
06/18/2018
Last updated
06/18/2018
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