Individual
JEREMIAH LEE BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-2965
(216) 445-1472
Mailing address
9500 EUCLID AVE., M2 ANNEX, CLEVELAND, OH 44195
(216) 445-1472
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
OH
Other
Enumeration date
11/28/2018
Last updated
04/11/2020
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