Individual
GARY L BAUMBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 384-9083
(319) 384-8054
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 384-9083
(319) 384-8054
Taxonomy
Speciality
Code
Description
License number
State
207ZN0500X
Neuropathology Physician
Primary
20899
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0163543
—
IA
05
—
1163543
—
IA
01
—
22687
WELLMARK BCBS
IA
01
—
33899
WELLMARK BCBS
IA
Enumeration date
10/10/2005
Last updated
12/28/2007
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