Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 61526-20 | WI |
N | 207Q00000X | Family Doctor | 61526 | WI |
Y | 207Q00000X | Family Doctor | 61526-20 | WI |
NPI | 1003182205 |
---|---|
Provider Name | David I Baumann |
First Address | La Crosse, WI 54601-5429 |
Second Address | Onalaska, WI 54650-8447 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/04/2012 |
Last Update Date | 21/01/2016 |