Type | Person | [sources] | |||
---|---|---|---|---|---|
Name | Joseph Baumstarck | [sources] | |||
Birth date | not available | [sources] | |||
Nationality | not available | [sources] | |||
Country | United States of America | [sources] | |||
Description | Provider Number: 114619002 109485800 | [sources] | |||
First name | Joseph | [sources] | |||
Last name | Baumstarck | [sources] | |||
Sector | General Practice | [sources] | |||
Address | Lovell, WY | [sources] | |||
Last change | Last processed | First seen |
Medical providers deemed ineligible to participate in Wyoming's Medicaid program.
United States of America · WDH
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Sanctions | |||||
---|---|---|---|---|---|
Country | Authority | Program | Start date | End date | |
United States of America | Wyoming Department of Health | - |
Address | ||
---|---|---|
Full address | Country | |
Lovell, WY | United States of America |
Linked to | ||||
---|---|---|---|---|
Object | Role | Start date | End date | |
Strong Tree Clinic Debarred entity | - | - | - |