Individual
ERIN LEAH BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
7950 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4140
(260) 435-7937
(260) 435-7933
Mailing address
7950 W JEFFERSON BLVD, SUITE 2121, FORT WAYNE, IN 46804-4140
(260) 435-7937
(260) 435-7933
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10001434A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0045233
—
OH
Enumeration date
09/14/2012
Last updated
08/14/2024
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