Individual
CONSTANCE J BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
111 S GRANT AVE, COLUMBUS, OH 43215-4701
(614) 566-9506
(614) 566-8224
Mailing address
111 S GRANT AVE, COLUMBUS, OH 43215-4701
(614) 566-9506
(614) 566-8224
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
35-05-0451
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0822364
—
OH
Enumeration date
11/30/2006
Last updated
07/24/2007
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