Individual
MARLENE BAUMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-2342
(570) 271-6144
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
55905
KY
2085N0700X
Neuroradiology Physician
Primary
MD446777
PA
2085N0700X
Neuroradiology Physician
TP315
KY
2085R0202X
Diagnostic Radiology Physician
MD446777
PA
390200000X
Student in an Organized Health Care Education/Training Program
35.087463
OH
Other
Enumeration date
08/01/2008
Last updated
11/01/2021
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