Individual
DR. JANIS BAEUERLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2702 DANA ST, BERKELEY, CA 94705-1136
(510) 666-0563
Mailing address
2702 DANA ST, BERKELEY, CA 94705-1136
(510) 666-0563
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G42063
CA
Other
Enumeration date
12/19/2013
Last updated
12/19/2013
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