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Individual

DR. JOHN T BAUMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1411 S CREASY LN, SUITE 120, LAFAYETTE, IN 47905-7438
(765) 447-4165
(765) 447-4168
Mailing address
8450 NORTHWEST BLVD, INDIANAPOLIS, IN 46278-1381
(317) 802-2000
(317) 802-2170

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
01061572A
IN
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
01061572A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200828190
IN
Enumeration date
08/01/2006
Last updated
05/08/2024
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