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Individual

DR. GREGORY NATHAN BAUMLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
398A EVANS ST, WILLIAMSVILLE, NY 14221-3573
(716) 632-2200
Mailing address
398A EVANS SREET, WILLIAMSVILLE, NY 14221-3573
(716) 632-2200

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
011069
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
204389345
PRISM
NY
01
8891099
INDEPENDENT HEALTH
NY
Enumeration date
12/26/2006
Last updated
08/03/2011
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