Individual
MARK A. BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5233 W. MORGAN AVE, SUITE 102, MILWAUKEE, WI 53220-1559
(414) 321-8960
(414) 321-0632
Mailing address
5233 W. MORGAN AVE, SUITE 102, MILWAUKEE, WI 53220-1559
(414) 321-8960
(414) 321-0632
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
18931
WI
207X00000X
Orthopaedic Surgery Physician
Primary
18931020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30224300
—
WI
Enumeration date
05/04/2006
Last updated
02/23/2010
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