Individual
DR. EDWIN ALEA BAUTISTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
5515 PEACH ST, ERIE, PA 16509-2695
(814) 864-4031
Mailing address
1793 W 42ND ST, ERIE, PA 16509-1143
(630) 965-9694
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC007353
PA
Other
Enumeration date
07/06/2023
Last updated
07/06/2023
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