Individual
GERMAINE BARBARA BAUER-LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1101 E 37TH ST STE 20, HIBBING, MN 55746-2972
(218) 440-1548
Mailing address
730 E 34TH ST, HIBBING, MN 55746-5109
(218) 263-1000
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
100005
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08R87BA
BCBS
MN
Enumeration date
06/23/2006
Last updated
01/05/2022
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