Individual
DR. MATTHEW JAMES BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 OVERLOOK TER, MADISON, WI 53705-2254
(608) 256-1901
Mailing address
2500 OVERLOOK TER, MADISON, WI 53705-2254
(262) 498-0722
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
74403-20
WI
207R00000X
Internal Medicine Physician
MD-47448
IA
207R00000X
Internal Medicine Physician
R-11169
IA
208M00000X
Hospitalist Physician
MD-47448
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R-11169
IOWA RESIDENT PHYSICIAN LICENSE
IA
Enumeration date
04/12/2018
Last updated
04/22/2024
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