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Individual

CAROLE A BAUER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
44201 DEQUINDRE RD, TROY, MI 48085-1117
(248) 964-5000
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704141216
MI
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
4704141216
MI

Other

Enumeration date
11/12/2009
Last updated
06/17/2025
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