Organization
WALTER E BAUMANN M.D. , INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALTER E BAUMANN M.D. (PRESIDENT)
(918) 756-4608
Entity
Organization
Contact information
Practice address
1214 S BELMONT AVE, OKMULGEE, OK 74447-6310
(918) 756-4608
(918) 756-4611
Mailing address
1214 S BELMONT AVE, OKMULGEE, OK 74447-6310
(918) 756-4608
(918) 756-4611
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
10254
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100189280A
—
OK
Enumeration date
06/03/2008
Last updated
10/14/2009
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