Raymond T Bauer MD

NPI 1083607691 - Physical Medicine & Rehabilitation - 208100000X

NPI Details
NPI 1083607691
Gender Male
Enumeration Date 08/30/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
25311 LITTLE MACK AVE
SUITE B
ST CLAIR SHORES MI, 48081-3370, US
Phone (586) 498-2400
Fax (586) 498-2800
Business Location
25311 LITTLE MACK AVE
SUITE B
ST CLAIR SHORES MI, 48081-3370, US
Phone (586) 498-2400
Fax (586) 498-2800
Toxanomy
Taxonomy Code 208100000X
License State Michigan
License Number 4301062448
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According to our database, Dr. Raymond T Bauer MD NPI is 1083607691, taxonomy code is 208100000X and license number is 4301062448, license state is located at Michigan. Raymond T Bauer MD physically located at 25311 Little Mack Ave, St Clair Shores MI, 48081-3370. NPI Number Raymond T Bauer MD has the Individual type.

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1083607691 NPI number is provided on an as is basis without warranty of any kind. 1083607691 is maintained by the National Plan & Provider Enumeration System. The contents of Raymond T Bauer MD are for informational purposes only.