DR. William Michael Bauman, DDS

NPI #1528705803 in Fridley, Minnesota

Provider Information

NPI Number: 1528705803
Entity Type: Individual
Name: DR. William Michael Bauman, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Credential: DDS
Enumeration Date: May 17, 2022
Last Updated: May 17, 2022

Practice Location

Address: 1099 E MOORE LAKE DR
City: Fridley
State: Minnesota
ZIP Code: 55432
Phone: (763) 634-6998

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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