Individual
DR. KATHLEEN ELIZABETH BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1430 HIGHWAY 96 E, WHITE BEAR LAKE, MN 55110-3653
(651) 653-2100
(651) 653-2125
Mailing address
PO BOX 1309, MS 21110Q, MINNEAPOLIS, MN 55440-1309
(651) 653-2100
(651) 653-2125
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
62999
MN
Other
Enumeration date
04/23/2014
Last updated
03/17/2018
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