Individual
DR. GREGORY EDWARD BAUMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
8383 M 139, BERRIEN SPRINGS, MI 49103-9001
(269) 471-4055
Mailing address
8383 M 139, BERRIEN SPRINGS, MI 49103-9001
(269) 471-4055
(269) 471-3829
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901020416
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2901020416
STATE OF MICHIGAN DENTAL LICENSE
MI
Enumeration date
05/30/2011
Last updated
12/07/2022
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