Individual
DR. CHRIS G.W. BAUMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2955 XENIUM LN N, SUITE 40, PLYMOUTH, MN 55441-2666
(763) 398-2203
(763) 398-6533
Mailing address
2955 XENIUM LN N, SUITE 40, PLYMOUTH, MN 55441-2666
(763) 398-2203
(763) 398-6533
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
2002-0144
NM
2085R0202X
Diagnostic Radiology Physician
2005037044
MO
2085R0202X
Diagnostic Radiology Physician
Primary
60365
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207574906
—
MO
05
—
85359033
—
NM
Enumeration date
08/08/2006
Last updated
06/01/2016
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