Individual
CANAAN BAER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(740) 446-5387
(740) 446-5982
Mailing address
90 JACKSON PIKE, GALLIPOLIS, OH 45631-1562
(740) 446-5387
(740) 446-5982
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35.138690
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0411222
—
OH
Enumeration date
03/21/2011
Last updated
11/25/2020
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