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Individual

DR. RAYMOND A BAUMGARTNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
8240 NAAB RD, SUITE 360, INDIANAPOLIS, IN 46260
(317) 872-8042
(317) 872-8044
Mailing address
150 E. COLUMBINE LANE, WESTFIELD, IN 46074
(317) 872-8042
(317) 872-8044

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
07000742A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000091401
ANTHEM BCBS
IN
05
100119540
IN
01
480032599
MEDICARE RAILROAD
IN
Enumeration date
10/05/2006
Last updated
05/13/2014
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