Individual
AMY LYNN BAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3111 ELECTRIC AVE, PORT HURON, MI 48060-8127
(810) 966-3528
Mailing address
1636 RICHMAN RD, KIMBALL, MI 48074-2212
(810) 858-9418
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
04/06/2023
Last updated
04/06/2023
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