Joel J Baumgartner
Family Doctor - Sports Medicine
901 3rd St N
Waite Park
, Minnesota 56387-1964
Joel J Baumgartner
Family Doctor - Sports Medicine
901 3rd St N
Waite Park
, Minnesota 56387-1964
(320) 217-8490
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About
Features
Specialties
- Family Doctor - Sports Medicine
Languages spoken
- English
Location
First Address
- Joel J Baumgartner
- 901 3rd St N
- Waite Park, MN
- Zip : 56387-1964
- Fax : (320) 217-8490
- Phone : (320) 217-8480
Second Address
- Joel J Baumgartner
- 901 3rd St N
- Waite Park, MN
- Zip : 56387-1964
- Fax : (320) 217-8490
- Phone : (320) 217-8480
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QS0010X | Family Doctor - Sports Medicine | 43368 | MN |
National Provider Identifier
| NPI | 1184679607 |
|---|---|
| Provider Name | Joel J Baumgartner |
| First Address | Waite Park, MN 56387-1964 |
| Second Address | Waite Park, MN 56387-1964 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/05/2006 |
| Last Update Date | 29/01/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1184679607 | (05) | MN |
| H38658 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.