# DR. MATTHEW RICHARD BAUER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1528266830
- **Gender:** Man
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208200000X | Plastic Surgery Physician | NONE | NJ | — |
| 208D00000X | General Practice Physician | 53821-21 | WI | Yes |

## Other

- **Enumeration date:** 07/08/2007
- **Last updated:** 05/06/2010