Individual
RAYMOND BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
9252 N GREEN BAY RD, MILWAUKEE, WI 53209-1104
(414) 270-8150
Mailing address
9252 N GREEN BAY RD, MILWAUKEE, WI 53209-1104
(414) 270-8150
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
27922
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30025500
—
WI
Enumeration date
07/02/2006
Last updated
11/28/2018
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