Individual
DR. PETER BAUMGARTEL
Active
Individual
DR. PETER BAUMGARTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
Primary
036079988
IL
2085N0904X
Nuclear Radiology Physician
4301501049
MI
2085R0202X
Diagnostic Radiology Physician
036079988
IL
2085R0202X
Diagnostic Radiology Physician
4301501049
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036079988
—
IL
01
—
202926
GROUP PTAN
IL
01
—
212545
GROUP PTAN
IL
01
—
4923631
BCBS ID
IL
Enumeration date
11/29/2006
Last updated
12/06/2023
Update your record
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