Individual
TODD GORDON BAUMGARTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
313 1ST ST SE, LITTLE FALLS, MN 56345-3005
(320) 632-3673
(320) 632-3677
Mailing address
313 1ST ST SE, LITTLE FALLS, MN 56345-3005
(320) 632-3673
(320) 632-3677
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2114
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01006332
PREFERRED ONE
MN
05
—
058823700
—
MN
01
—
121964E979
UCARE
MN
01
—
22-14261
MEDICA
MN
01
—
410029610
RAILROAD MEDICARE
MN
01
—
4C930BA
BLUE CROSS BLUE SHIELD
FM
01
—
HP26999
HEALTH PARTNERS
MN
Enumeration date
07/27/2006
Last updated
09/16/2014
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