| Doctor Name: | JOEL J BAUMGARTNER |
| NPI Number: | 1184679607 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 43368 |
| Business Practice Address: | 901 3rd St N Waite Park, MN - 563871964 |
| Business Phone Number: | 3202178480 |
| Business Fax Number: | 3202178490 |
| Mailing Address: | 901 3rd St N, WAITE PARK |
| State: | MN |
| Postal Code: | 563871964 |
| Phone Number: | 3202178480 |
| Fax Number: | 3202178490 |
| NPI Enumeration Date: | 05/23/2006 |
| NPI Last Update Date: | 03/18/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2083S0010X |
| License Number: | 43368 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Preventive Medicine |
| Taxonomy Specialization: | Sports Medicine |
| Taxonomy Definition: | A preventive medicine physician who specializes in the diagnosis and treatment of sports related conditions and injuries. |