Individual
KENT WILLIAM BAUMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 ASSOCIATES DR, DUBUQUE, IA 52002-2201
(563) 584-4415
(563) 584-4195
Mailing address
1500 ASSOCIATES DR, DUBUQUE, IA 52002-2201
(563) 584-4100
(563) 584-4110
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
23573
IA
207W00000X
Ophthalmology Physician
27923
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0037325
—
IA
Enumeration date
05/16/2006
Last updated
09/08/2010
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