Individual
MELANIE JO BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1801 E DOWLING RD, ANCHORAGE, AK 99507-1918
(907) 569-7135
(907) 868-4658
Mailing address
1801 E DOWLING RD, ANCHORAGE, AK 99507-1918
(907) 569-7135
(907) 868-4658
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CMG107
—
AK
Enumeration date
10/20/2009
Last updated
10/20/2009
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