NPI 1861968117

Michael David Baum

Practitioner Driver Charles Town, WV

Practice location

Address: 41 New Thomas Dr, Charles Town, WV 25414-4822
Phone: (304) 270-8110

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence F901576 (WV)

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Registry record

NPI: 1861968117
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Oct 2018
Record last updated: 14 Oct 2018

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.