Individual
DR. MATTHEW RICHARD BAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1 MEDICAL CENTER DR, STRATFORD, NJ 08084-1500
(856) 346-2186
Mailing address
8517 KENYON AVE, WAUWATOSA, WI 53226-2834
(630) 803-8900
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
NONE
NJ
208D00000X
General Practice Physician
Primary
53821-21
WI
Other
Enumeration date
07/08/2007
Last updated
05/06/2010
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