Individual
MR. MARK HOWARD BAUMGARTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD , MS
Contact information
Practice address
306 W. MCMILLAN ST., MARSHFIELD, WI 54449
(715) 387-1702
(715) 387-8174
Mailing address
306 W. MCMILLAN ST., PO BOX 929, MARSHFIED, WI 54449
(715) 387-1702
(715) 387-8174
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6211-15
WI
1223G0001X
General Practice Dentistry
2005037623
MO
Other
Enumeration date
12/13/2006
Last updated
12/30/2019
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