Individual
MR. PATRICK M BAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
1250 E WALNUT LAWN ST, SPRINGFIELD, MO 65804-4202
(417) 883-3740
Mailing address
1250 E WALNUT LAWN ST, SPRINGFIELD, MO 65804-4202
(417) 883-3740
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
01588
MO
Other
Enumeration date
03/28/2007
Last updated
07/08/2007
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