Individual
CORY RICHARD BAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3388 KENNEDY CIR STE F, DUBUQUE, IA 52002-3903
(563) 556-8332
Mailing address
2236 INDY DR, ASBURY, IA 52002-8218
(636) 346-7412
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
252750
SC
367500000X
Certified Registered Nurse Anesthetist
Primary
D168879
IA
Other
Enumeration date
06/02/2021
Last updated
06/02/2022
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