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Brandon Baumgarten
NPI 1003260449 · on the registry since 2016 · sole proprietor
Practice
- Address
- 7299 Town And Country Pl
Hazelwood, MO 63042 - Phone
- (219) 629-0982
Registry record
- Primary taxonomy
- Specialist
174400000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-04-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri