Individual
DIANE M BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
2945 HAZELWOOD ST STE 210, MAPLEWOOD, MN 55109-1243
(612) 643-9690
Mailing address
2945 HAZELWOOD ST STE 210, MAPLEWOOD, MN 55109-1243
(612) 643-9690
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
1586329
MN
Other
Enumeration date
09/27/2023
Last updated
09/27/2023
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