Organization
DR RICK D BAUER
Active
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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