Individual
WAYNE E BAUMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10496 MONTGOMERY RD, SUITE 201, CINCINNATI, OH 45242
(513) 984-5042
(513) 984-8759
Mailing address
PO BOX 428668, CINCINNATI, OH 45242-8668
(513) 984-5042
(513) 984-8759
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
35041847B
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0411932
—
OH
01
—
791071182
RR MEDICARE
OH
Enumeration date
01/30/2006
Last updated
04/23/2010
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