Individual
TERESE A BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10820 W 64TH ST STE 202, GIANNA FAMILY CARE, SHAWNEE, KS 66203-3571
(913) 890-2555
Mailing address
10820 W 64TH ST STE 202, GIANNA FAMILY CARE, SHAWNEE, KS 66203-3571
(913) 890-2555
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0436612
KS
207Q00000X
Family Medicine Physician
2013026055
MO
207Q00000X
Family Medicine Physician
47982-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34666700
—
WI
Enumeration date
01/08/2007
Last updated
10/03/2016
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