Baumgartner, David

Baumgartner, David is an individual health care provider with primary practice located at 245 Cherry St Se Suite 306, Grand Rapids MI 49503-4607. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Baumgartner, David can be contacted via phone (616) 913-8203.

Contact Information

Primary practice address
245 Cherry St Se Suite 306 Grand Rapids MI 49503-4607
Phone: (616) 913-8203
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301047509 Michigan
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 4301047509 Michigan

Profile Details

NPI number 1033144456
LBN Legal business name Baumgartner, David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033144456 NPPES
Michigan MEDICAID 4879058
Michigan MEDICAID 2778065
Michigan MEDICAID 4120830
Michigan MEDICAID 4877160

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