Individual
PETRA H HACKENBERG-BAUER
Active
Individual
PETRA H HACKENBERG-BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35066134
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000007724
ANTHEM BC/BS
OH
01
—
0637479
AETNA
OH
05
—
0964667
—
OH
01
—
1220465
UNITED HEALTHCARE
OH
01
—
6613401
HUMANA
OH
Enumeration date
02/10/2006
Last updated
04/27/2011
Update your record
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