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Individual

MR. MARK WENDELL BAUMGARTNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
49103 MN-38, MARCELL, MN 56657
(218) 452-1134
Mailing address
51992 BIG TOO MUCH LAKE RD, BIGFORK, MN 56628-4104
(218) 452-1134

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary

Other

Enumeration date
11/19/2025
Last updated
11/19/2025
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