Individual
MR. MICHAEL MOONEY BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., PA-C
Contact information
Practice address
3990 JOHN R ST, HARPER UNIVERSITY HOSPITAL, DETROIT, MI 48201-2018
(248) 808-2979
Mailing address
3990 JOHN R ST, HARPER UNIVERSITY HOSPITAL, DETROIT, MI 48201-2018
(248) 808-2979
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601003591
MI
Other
Enumeration date
01/30/2007
Last updated
02/25/2015
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