Individual
DR. MATTHEW STEPHEN BAUMGARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
6500 PENN AVE S, RICHFIELD, MN 55423-1143
(612) 798-1720
Mailing address
680 COUNTY ROAD 10 NE, BLAINE, MN 55434-2329
(763) 785-2200
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3077
MN
Other
Enumeration date
07/18/2007
Last updated
05/18/2016
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