Individual
BROCK BAUMGARN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1265 INTERSTATE DR STE B201B, COOKEVILLE, TN 38501-5195
(931) 854-9254
Mailing address
542 W NETHERLAND RD, COOKEVILLE, TN 38506-9031
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC3612
TN
Other
Enumeration date
07/27/2022
Last updated
07/27/2022
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