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Contact Information

MITCHEL D BAUMAN, MD
801 5TH ST
SIOUX CITY, IA51101-1394
 Phone: 712-279-2372
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Pathology/Laboratory Medicine

207ZP0105X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for MITCHEL D BAUMAN · (Male)

NPI Number 1417931072
Status Active
Credentials MD
Entity Individual
Enumeration date 12/06/2005
Last updated 07/09/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • IA License # 26210
  • SD License # 3879
  • IA Medicaid 0044727
  • IA Medicaid 1044727
  • IA Other 31559 WELLMARK BLX
  • SD Other 0005647 WELLMARK BLX DUNEX
Hospital affiliation(s)
  • MERCY MEDICAL CENTER-SIOUX CITY - (Acute Care)
    801 5TH ST
    SIOUX CITY, IA 51101
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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