Individual
JASON LEE BAUMBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CLS, ASCP
Contact information
Practice address
740 NEWBERRY LN, CHASKA, MN 55318-3216
(612) 518-0577
Mailing address
740 NEWBERRY LN, CHASKA, MN 55318-3216
(612) 518-0577
Taxonomy
Speciality
Code
Description
License number
State
246QM0706X
Medical Technologist
Primary
210142
SD
Other
Enumeration date
07/11/2023
Last updated
07/13/2023
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