Individual
MICHELLE BAUMGARTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.CCC-SLP
Contact information
Practice address
3121 GREENFIELD DR, PETOSKEY, MI 49770-9713
(231) 838-7860
Mailing address
3121 GREENFIELD DR, PETOSKEY, MI 49770-9713
(231) 838-7860
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101003339
MI
Other
Enumeration date
02/13/2019
Last updated
02/13/2019
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