Individual
DR. DANIEL JAMES BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12855 N 40 DR, SUITE 280, SAINT LOUIS, MO 63141-8657
(314) 432-4415
(314) 432-1986
Mailing address
12855 NORTH FORTY DRIVE, SUITE 280, ST. LOUIS, MO 63141
(314) 432-4415
(314) 432-1986
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MOR8580
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00616023
RAILROAD MEDICARE
—
Enumeration date
08/15/2005
Last updated
03/30/2015
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