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Yvonne Elaine Baumrucker, DPM
Student in an Organized Health Care Education/Training Program in Maryville, Illinois
NPI 1134749088

Yvonne Elaine Baumrucker is a Student in an Organized Health Care Education/Training Program based in Maryville, IL. Yvonne Elaine Baumrucker practices in Maryville, IL and has the professional credentials of DPM. The NPI Number for Yvonne Elaine Baumrucker is 1134749088 and holds a License No. 016.006013 (Illinois).

The current practice location address for Yvonne Elaine Baumrucker is 122 E Zupan St, Maryville, IL and can be reached out via phone at 618-344-4449.

Location: 122 E Zupan St, Maryville, IL, 62062-2010
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134749088
Provider Name
Yvonne Elaine Baumrucker
Credential
DPM
Provider Entity Type
Individual
Gender
Female
Address
122 E Zupan St, Maryville, IL, 62062-2010
Phone Number
618-344-4449
Fax Number
Provider Enumeration Date
04/21/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
122 E Zupan St
City
Maryville
State
Illinois
Zip
62062-2010
Phone Number
618-344-4449
Fax Number
person
Provider Business Mailing Address Details
Address
122 E Zupan St
City
Maryville
State
Illinois
Zip
62062-2010
Phone Number
618-344-4449
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
016.006013 (Illinois)
Definition
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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