Individual
DR. PAUL MITCHELL BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
LUTHERAN HOSPITAL, 7950 W JEFFERSON BLVD, FORT WAYNE, IN 46804
(260) 435-7001
Mailing address
7950 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4140
(260) 435-7001
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
01051916A
IN
2086S0102X
Surgical Critical Care Physician
01051916A
IN
2086S0127X
Trauma Surgery Physician
Primary
01051916A
IN
Other
Enumeration date
11/25/2005
Last updated
03/01/2024
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