Evan Baum
Evan Baum is a Student in an Organized Health Care Education/Training Program in Grand Rapids, Michigan. Practices as a sole proprietor. Registered with an NPI since 2018.
- In the registry since
- 2018
Practice location Address checks out
100 Cherry St SEGrand Rapids, MI 49503-4526
Phone: (616) 965-8200
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1669950721 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | August 1, 2018 |
| Last updated in NPPES | August 1, 2018 |
| Mailing address | 970 Harrison Blvd, Lincoln Park, MI 48146-4218 |
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