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Individual
JOHN BAUERS
Active
Individual
JOHN BAUERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
132732
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00026114302
UNIVERA
NY
01
—
00026114303
UNIVERA
NY
01
—
000507824004
BC/BS
NY
01
—
000507824005
BC/BS
NY
05
—
00753911
—
NY
01
—
0411538
IHA
NY
01
—
080110000016
FIDELIS
NY
01
—
151076BJ
PREFERRED CARE
NY
Enumeration date
10/03/2005
Last updated
04/04/2017
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