Individual
KAREN BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
28030 OLD VILLAGE RD, MECHANICSVILLE, MD 20659-4288
(301) 373-7900
(301) 373-6900
Mailing address
28030 OLD VILLAGE RD, MECHANICSVILLE, MD 20659-4288
(301) 373-7900
(301) 373-6900
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0062042
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
407736900
—
MD
Enumeration date
07/17/2006
Last updated
12/13/2021
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