Individual
GEORGE W BAUER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1115 WOODLAND DR, ELIZABETHTOWN, KY 42701-2749
(270) 769-5963
(270) 769-9051
Mailing address
1115 WOODLAND DR, ELIZABETHTOWN, KY 42701-2749
(270) 769-5963
(270) 769-9051
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
16884
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64168842
—
KY
Enumeration date
09/06/2006
Last updated
07/08/2007
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