Individual
MR. JOSEPH JAMES BAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSE., LP
Contact information
Practice address
11010 PAWNEE AVE N, STILLWATER, MN 55082-9592
(612) 817-5487
Mailing address
11010 PAWNEE AVE N, STILLWATER, MN 55082-9592
(612) 817-5487
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP0332
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
634050400
—
MN
Enumeration date
09/07/2006
Last updated
03/11/2026
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