Individual
MR. TIMOTHY JOHN BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
EMT B
Contact information
Practice address
16243 BORMET DR, TINLEY PARK, IL 60477
(231) 445-1073
Mailing address
16243 BORMET DR, TINLEY PARK, IL 60477
(231) 445-1073
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
—
—
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
05/14/2008
Last updated
05/14/2008
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