Individual
MARK A. BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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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