Individual
DOROTA E BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4269 PEARL RD, STE 208, CLEVELAND, OH 44109-4234
(216) 351-4656
(216) 351-4454
Mailing address
4269 PEARL RD, STE 208, CLEVELAND, OH 44109-4234
(216) 351-4656
(216) 351-4454
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35073579B
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000510718
ANTHEM BCBS
OH
05
—
2079996
—
OH
01
—
7017156
AETNA
—
01
—
F73579
SUMMACARE APEX
—
01
—
P00472862
RAILROAD CARE
OH
Enumeration date
02/23/2006
Last updated
05/29/2008
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