Individual
MR. TOM L BAUMGARTNER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
4450 31ST AVE S STE 104, FARGO, ND 58104-4557
(701) 451-9417
(701) 298-0066
Mailing address
4450 31ST AVE S STE 104, FARGO, ND 58104-4557
(701) 451-9417
(770) 129-8006
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
1022
ND
208100000X
Physical Medicine & Rehabilitation Physician
5808
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
51317
—
ND
Enumeration date
01/31/2006
Last updated
10/29/2019
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