Individual
DR. WILLIAM J BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
671 MITCHELL WAY STE 210, ERIE, CO 80516-5446
(720) 260-4634
Mailing address
671 MITCHELL WAY STE 210, ERIE, CO 80516-5446
(720) 260-4634
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DR.0055636
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
029494
KAISER COMMERCIAL NUMBER
CO
05
—
46934511
—
CO
Enumeration date
05/03/2012
Last updated
09/27/2023
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