Individual
GEOFFREY L BAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8701 BROADWAY, MERRILLVILLE, IN 46410-7035
(219) 738-5510
Mailing address
1325 N ASTOR ST APT 4, CHICAGO, IL 60610-2343
(312) 282-7077
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01060344
IN
207P00000X
Emergency Medicine Physician
036-110410
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01060344A
LICENSE
IN
01
—
036-110410
LICENSE
IL
05
—
036-110410
—
IL
05
—
200514560
—
IN
Enumeration date
09/14/2005
Last updated
07/21/2022
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