Individual
DR. MICHAEL THOMAS BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
55 BROADWAY, BANGOR, PA 18013-1706
(610) 588-6199
(610) 588-1497
Mailing address
55 BROADWAY, BANGOR, PA 18013-1706
(610) 588-6199
(610) 588-1497
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC007480L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02819500
CAPITAL BLUE CROSS
PA
01
—
1032757
ASHN
PA
01
—
2828610
AETNA
PA
01
—
BA628930
HIGHMARK BS
PA
Enumeration date
10/26/2006
Last updated
02/20/2012
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