Individual
CATHERINE M BAER-MIRZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
2715 N MAIN ST, ROCKFORD, IL 61103-3111
(815) 964-8713
(815) 964-3719
Mailing address
2715 N MAIN ST, ROCKFORD, IL 61103-3111
(815) 964-8713
(815) 964-3719
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019266576
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9177538
—
IL
Enumeration date
04/06/2006
Last updated
05/14/2014
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