Organization
WAYNE E. BAUMAN, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WAYNE E. BAUMAN M.D. (PRESIDENT)
(513) 984-5042
Entity
Organization
Contact information
Practice address
10496 MONTGOMERY RD SUITE 201, CINCINNATI, OH 45242
(513) 984-5042
(513) 984-8759
Mailing address
PO BOX 428668, CINCINNATI, OH 45242-8668
(513) 984-5042
(513) 984-8759
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
35041847B
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0411932
—
OH
Enumeration date
12/18/2006
Last updated
04/23/2010
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