Individual
GARY L BAUMBACH
Active
Individual
GARY L BAUMBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
Update your record
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