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Individual

MR. RYAN J BAUMERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
6900 A ST, SUITE 100, LINCOLN, NE 68510-4120
(402) 436-2000
(402) 434-2691
Mailing address
6900 A ST, SUITE 100, LINCOLN, NE 68510-4120
(402) 436-2000
(402) 434-2691

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
990
NE
363AS0400X
Surgical Physician Assistant
Primary
990
NE

Other

Enumeration date
09/29/2006
Last updated
10/04/2013
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