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Individual

HERMAN A BAUMANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1930 BISHOP LN, STE 1600, LOUISVILLE, KY 40218-1929
(502) 272-5044
(502) 272-5121
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01033465A
IN
207R00000X
Internal Medicine Physician
Primary
23255
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00000050932
ANTHEM - NCMA
01
000000724438
ANTHEM - NHC
KY
01
004187
SIHO - NCMA
05
100086530
IN
01
110138275
RAILROAD MEDICARE
IN
01
127314
SIHO - NHC
KY
01
50035904
PASSPORT - NHC
KY
05
64232556
KY
01
P00357999
RAILROAD MEDICARE
KY
Enumeration date
04/18/2006
Last updated
08/29/2016
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