Individual
MR. ALAN BAUMGARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
914 BAUMANN DR, GRAND ISLAND, NE 68803-4401
(308) 385-5250
(308) 385-5271
Mailing address
914 BAUMANN DR, GRAND ISLAND, NE 68803-4401
(308) 385-5250
(308) 385-5271
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1184
NE
Other
Enumeration date
06/21/2006
Last updated
07/08/2007
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