Individual
MICHAEL R BAUMGARTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
252 MCHENRY ST, BURLINGTON, WI 53105-1828
(262) 767-6000
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301507733
MI
208M00000X
Hospitalist Physician
Primary
84231-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
4351045428
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100287864
—
WI
Enumeration date
06/26/2019
Last updated
11/06/2024
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