Individual
MICHAEL BRIAN BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
730 MALCOLM BLVD STE 100, CONNELLY SPRINGS, NC 28612-8079
(828) 580-7962
(828) 580-3392
Mailing address
730 MALCOLM BLVD STE 100, CONNELLY SPRINGS, NC 28612-8079
(828) 580-7962
(828) 580-3392
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
9900164
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1227Y
BCBS
NC
05
—
1497799977
—
NC
05
—
891277Y
—
NC
Enumeration date
06/15/2006
Last updated
03/17/2018
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