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Individual

DR. BRIAN DAVID BAUER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O

Contact information

Practice address
10017 CLEARY BLVD, PLANTATION, FL 33324-1000
(954) 916-1133
(954) 916-0096
Mailing address
PO BOX 741235, BOYNTON BEACH, FL 33474-1235
(954) 941-2679
(954) 941-6169

Taxonomy

Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
7924
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
7924
LISCENSE NUMBER
FL
Enumeration date
04/10/2007
Last updated
07/08/2007
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