# MICHAEL W BAUER

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

## Provider details

- **NPI number:** 1891057691
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | ME117011 | FL | — |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | 2016026999 | MO | Yes |
| 207XX0005X | Sports Medicine (Orthopaedic Surgery) Physician | 2016026999 | MO | — |

## Other

- **Enumeration date:** 06/08/2012
- **Last updated:** 07/16/2020