NPI 1053589549

Jeremy Michael Baum, MD

Practitioner Diagnostic Radiology Physician Papillion, NE

Practice location

Address: 11111 S 84th St Suite 2476, Papillion, NE 68046-4122
Phone: (402) 339-8974
Fax: (402) 339-6741
Mailing address: 10144 Edward St, La Vista, NE 68128-2500

Registered specialties (3)

Diagnostic Radiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence 24581 (NE)

Other Radiology providers in Nebraska →

Diagnostic Radiology Physician

Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence 37694 (IA)

Diagnostic Radiology Physician

Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence 245480-1 (NY)

Registry record

NPI: 1053589549
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Feb 2008
Record last updated: 15 Dec 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.