Individual
BRETT BAUMGARTNER
Active
Individual
BRETT BAUMGARTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
10416935-1204
UT
207P00000X
Emergency Medicine Physician
5101021291
MI
390200000X
Student in an Organized Health Care Education/Training Program
5101021291
MI
Other
Enumeration date
06/12/2014
Last updated
12/28/2019
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