Individual
REBECCA BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2606 PEDDLERS VILLAGE RD STE 210, GOSHEN, IN 46526-1004
(574) 534-3300
(574) 534-5412
Mailing address
213 MIDDLEBURY ST, GOSHEN, IN 46528-2956
(574) 534-3300
(574) 534-5412
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01072807A
IN
207Q00000X
Family Medicine Physician
11015767A
IN
207V00000X
Obstetrics & Gynecology Physician
01072807A
IN
Other
Enumeration date
06/11/2010
Last updated
02/13/2024
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