Individual
SAMUEL THOMAS BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
17400 W 13 MILE RD, BEVERLY HILLS, MI 48025-5439
(248) 712-4120
(248) 792-5243
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
243635
NY
207VM0101X
Maternal & Fetal Medicine Physician
Primary
4301081593
MI
Other
Enumeration date
03/21/2007
Last updated
08/12/2024
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