Individual
JOHN BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1111 N MOUNT AUBURN RD, CAPE GIRARDEAU, MO 63701-3437
(573) 332-6025
Mailing address
1111 N MOUNT AUBURN RD, CAPE GIRARDEAU, MO 63701-3437
(573) 332-6000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
112733
MO
208000000X
Pediatrics Physician
112733
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
146167
BCBS
—
05
—
160304001
—
AR
05
—
203827522
—
MO
01
—
705383
HEALTHLINK
—
05
—
7100013060
—
KY
01
—
P00233446
RAILROAD MEDICARE
—
Enumeration date
05/16/2006
Last updated
05/12/2026
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