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Individual

KYLE BAUMGART

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1200 LAGOON AVE, MINNEAPOLIS, MN 55408-2077
(612) 823-6300
Mailing address
707 WINDING WATERS WAY, DE PERE, WI 54115-8374

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
01/31/2024
Last updated
02/28/2024
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