Individual
JUSTIN LAWRENCE BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7595 ANAGRAM DR, EDEN PRAIRIE, MN 55344-7399
(612) 573-2200
(612) 573-2274
Mailing address
7595 ANAGRAM DR, EDEN PRAIRIE, MN 55344-7399
(125) 732-2006
(612) 573-2274
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
76610
MN
2085R0202X
Diagnostic Radiology Physician
Primary
A157028
CA
Other
Enumeration date
03/30/2017
Last updated
05/27/2025
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