Individual
MISS BRITTANY JUSTINE BAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
18901 LAKE SHORE BLVD, EUCLID, OH 44119
(216) 593-9000
Mailing address
18901 LAKE SHORE BLVD, EUCLID, OH 44119-1078
(216) 593-9000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.005140RX
OH
363A00000X
Physician Assistant
—
—
Other
Enumeration date
06/02/2017
Last updated
09/10/2019
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