Individual
ERIN LEAH BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
11109 PARKVIEW PLAZA DR, FORT WAYNE, IN 46845-1701
(260) 266-1700
Mailing address
608 UNION CHAPEL RD, FORT WAYNE, IN 46845-9357
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
06/22/2026
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