Individual
GERALD K BAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
835 S VAN BUREN ST, GREEN BAY, WI 54301-3526
(920) 432-6049
(920) 884-3271
Mailing address
PO BOX 13453, GREEN BAY, WI 54307-3453
(920) 593-3745
(920) 884-3271
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
22282
WI
207RX0202X
Medical Oncology Physician
4301051043
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101793808
—
MI
05
—
30278200
—
WI
01
—
900002925
RR MEDICARE
—
01
—
GB051043
BLUE CROSS BLUE SHIELD MI
MI
Enumeration date
09/29/2006
Last updated
06/29/2010
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