Individual
LAUREL L BAUMSTARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
211 W 2ND ST, HERMANN, MO 65041-1047
(573) 330-3007
Mailing address
211 W 2ND ST, HERMANN, MO 65041-1047
(573) 330-3007
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD100863
MO
207Q00000X
Family Medicine Physician
Primary
95757
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208075036
—
MO
01
—
P00473866
RAILROAD MEDICARE
—
Enumeration date
03/20/2007
Last updated
12/19/2012
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