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Individual
JAY JULIUS BAUDER
Active
Individual
JAY JULIUS BAUDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
52931
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-42338
MEDICA
—
01
—
1972737054
BCBS
MN
01
—
1972737054
RAILROAD MEDICARE
—
05
—
1972737054
—
MN
Enumeration date
05/05/2009
Last updated
10/13/2021
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