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Individual

BRENDAN W BAUER

Active
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Individual

BRENDAN W BAUER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
35081179
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
04236
PARAMOUNT
OH
01
11211352
CAQH
OH
05
2330356
OH
01
249289
ANTHEM INS
OH
01
7926405
AETNA INS
OH
01
P00059998
RAILROAD MEDICARE
OH
Enumeration date
02/06/2006
Last updated
01/23/2023
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