Individual
DR. SUSAN L BAUMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5471 DR MARTIN LUTHER KING DR, SAINT LOUIS, MO 63112-4265
(314) 367-5820
(314) 367-7010
Mailing address
5471 DR MARTIN LUTHER KING DR, SAINT LOUIS, MO 63112-4265
(314) 367-5820
(314) 367-7010
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
R7583
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201156635
—
MO
Enumeration date
11/20/2006
Last updated
08/17/2015
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