Individual
JOEL J BAUMGARTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
901 3RD ST N, WAITE PARK, MN 56387-1964
(320) 217-8480
(320) 217-8490
Mailing address
901 3RD ST N, WAITE PARK, MN 56387-1964
(320) 217-8480
(320) 217-8490
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
43368
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184679607
—
MN
Enumeration date
05/23/2006
Last updated
01/29/2020
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