Individual
MICHELE LEE BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2503 N HILLCREST PKWY, ALTOONA, WI 54720-2569
(715) 852-5721
Mailing address
2503 N HILLCREST PKWY, ALTOONA, WI 54720-2569
(715) 852-5721
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
33854
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32032500
—
WI
Enumeration date
08/29/2006
Last updated
03/20/2013
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