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Individual

DR. CHARLES E. BAIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
201 ST. ANN DR., SUITE B, MANDEVILLE, LA 70471
(985) 626-1717
(985) 674-2814
Mailing address
201 ST. ANN DR., SUITE B, MANDEVILLE, LA 70471
(985) 626-1717
(985) 674-2814

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
04477R
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1195065
LA
Enumeration date
07/17/2006
Last updated
08/01/2012
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