# DR. ANDREW J BACH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1114307477
- **Gender:** Man
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 20A17172 | CA | Yes |
| 208D00000X | General Practice Physician | 5101022796 | MI | — |

## Other

- **Enumeration date:** 06/02/2015
- **Last updated:** 07/20/2023