Individual
DR. STEPHEN R BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
111 INAH AVE, COLUMBUS, OH 43228-1705
(614) 878-6415
(614) 878-7946
Mailing address
111 INAH AVE, COLUMBUS, OH 43228-1705
(614) 878-6415
(614) 878-7946
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
34-00-3023
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0489832
—
OH
Enumeration date
10/04/2006
Last updated
07/08/2007
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