Individual
MARK T BAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.D.O.
Contact information
Practice address
206 PUTNAM ST, STE102, MARIETTA, OH 45750-3042
(740) 373-7300
(740) 373-7388
Mailing address
206 PUTNAM ST, STE102, MARIETTA, OH 45750-3042
(740) 373-7300
(740) 373-7388
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
3132S
OH
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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