Individual
LAUREN ASHLEY BAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
15777 NORTHLINE RD STE 202, SOUTHGATE, MI 48195-2354
(734) 246-8100
(734) 246-8621
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101028690
MI
Other
Enumeration date
04/27/2022
Last updated
10/06/2025
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