Organization
GREGORY E. BAUMAN, DDS, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY EDWARD BAUMAN (DENTIST)
(269) 983-1812
Entity
Organization
Contact information
Practice address
1600 NILES AVE, SAINT JOSEPH, MI 49085-1609
(269) 983-1812
(269) 983-3282
Mailing address
1600 NILES AVE, SAINT JOSEPH, MI 49085-1609
(269) 983-1812
(269) 983-3282
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901020416
MI
Other
Enumeration date
01/09/2014
Last updated
03/07/2014
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