Individual
TYRELL BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
525 N 9TH ST, BISMARCK, ND 58501-4510
(701) 421-3324
(701) 751-2274
Mailing address
525 N 9TH ST, BISMARCK, ND 58501-4510
(701) 421-3324
(701) 751-2274
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
00000
ND
Other
Enumeration date
12/19/2024
Last updated
12/19/2024
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