Individual
DR. MARCEIL D BAUMAN-BORK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2110 SW BELLE AVE, TOPEKA, KS 66614-1771
(785) 272-5566
(785) 272-5967
Mailing address
2110 SW BELLE AVE, TOPEKA, KS 66614-1771
(785) 272-5566
(785) 272-5967
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0420537
KS
2084P0804X
Child & Adolescent Psychiatry Physician
0420537
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100777
BLUE SHIELD
KS
Enumeration date
08/28/2006
Last updated
08/23/2021
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