Individual
DANIEL L BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
5050 N CLINTON ST, FORT WAYNE, IN 46825-5822
(260) 484-8551
(260) 484-9603
Mailing address
5050 N CLINTON ST, FORT WAYNE, IN 46825-5822
(260) 484-8551
(260) 484-9603
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
28065607
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200279280
—
IN
01
—
430059841
RAIL ROAD MEDICARE
IN
Enumeration date
08/09/2005
Last updated
10/20/2010
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