Individual
MR. MICHAEL RAYMOND BAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 HOSPITAL DR, STE 103, BARNESVILLE, OH 43713-1098
(740) 425-5190
(740) 425-5197
Mailing address
100 HOSPITAL DR, STE 103, BARNESVILLE, OH 43713-1098
(740) 425-5190
(740) 425-5197
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
35043893
OH
208600000X
Surgery Physician
19816
WV
208600000X
Surgery Physician
Primary
OH35043893B
OH
208D00000X
General Practice Physician
35-04-3893B
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0512298
—
OH
01
—
0549674
MEDICARE ID
OH
Enumeration date
09/21/2005
Last updated
03/09/2015
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