Provider Information for 1518483932
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Mr. CHRISTIAN BAEUMLER
Sex: Male
NPI: 1518483932
Last Updated: 2023-03-07
Certification Date: 2023-03-07
Certification Date: 2023-03-07
Details
| Name | Value | ||||||||
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| NPI | 1518483932 | ||||||||
| Enumeration Date | 2017-08-17 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 4000 WELLNESS DR MIDLAND, MI 48670-2000 United States Phone: 844-832-1956 | Fax: | ||||||||
| Primary Practice Address | 3007 N SAGINAW RD MIDLAND, MI 48640-4555 United States Phone: 989-839-3385 | Fax: | ||||||||
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