Individual
JOHN T BAUTISTA
Active
Individual
JOHN T BAUTISTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
42553
TN
207L00000X
Anesthesiology Physician
4301054992
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0508278902
BCBS
MI
05
—
2989097-10
—
MI
05
—
3000254
—
TN
05
—
4114073-10
—
MI
01
—
4153878
BCBS OF TN
TN
05
—
7100012340
—
KY
05
—
9910831
—
AL
Enumeration date
07/26/2006
Last updated
08/05/2009
Update your record
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