Individual
GEORGE PAUL BAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
311 HALLMARK CT, FAIRFIELD, OH 45014-3991
(513) 910-9925
Mailing address
311 HALLMARK CT, FAIRFIELD, OH 45014-3991
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
01040998A
IN
207Y00000X
Otolaryngology Physician
35064650
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001175701
ANTHEM
—
05
—
0924227
—
OH
05
—
300014629
—
IN
Enumeration date
09/13/2006
Last updated
10/05/2021
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