Individual
SARAH BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
100 COUNTY ROAD B, SHAWANO, WI 54166-7072
(715) 524-2161
Mailing address
W10892 DEER BROOK LN, NEW LONDON, WI 54961-9148
(920) 472-9495
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4236-23
WI
Other
Enumeration date
12/22/2017
Last updated
12/22/2017
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