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Organization

DR RICK D BAUER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RICK D BAUER (OWNER)
(812) 295-3163
Entity
Organization

Contact information

Practice address
109 W MAIN ST, LOOGOOTEE, IN 47553-1506
(812) 295-3163
Mailing address
PO BOX 296, LOOGOOTEE, IN 47553-0296
(812) 295-3163

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
332B00000X
Durable Medical Equipment & Medical Supplies

Other

Enumeration date
02/22/2008
Last updated
02/22/2008
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