Individual
DR. BRENDA MICHELLE BAER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
2585 N MULFORD RD, ROCKFORD, IL 61114
(815) 636-9450
(815) 636-9443
Mailing address
2585 N MULFORD RD, ROCKFORD, IL 61114
(815) 636-9450
(815) 636-9443
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
3424012
WI
111N00000X
Chiropractor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10132030
BCBS
IL
01
—
82055905312
BCBS
WI
Enumeration date
07/10/2006
Last updated
07/08/2007
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