Individual provider · Type 1 NPI

Evan Baum

Student in an Organized Health Care Education/Training Program · Grand Rapids, MI

NPI number 1669950721 Active

Practice location

100 Cherry St SE
Grand Rapids, MI 49503-4526

Mailing address

970 Harrison Blvd
Lincoln Park, MI 48146-4218

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1669950721

Evan Baum's National Provider Identifier is 1669950721, issued on Aug 1, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Grand Rapids, MI. The record was last updated on Aug 1, 2018.