Individual
JULIA V BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSOCIATE
Contact information
Practice address
13850 E 12 MILE RD, WARREN, MI 48088-3730
(586) 552-4499
Mailing address
1550 DOROTHEA RD, BERKLEY, MI 48072-2108
(248) 910-2700
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601012580TMP24
MI
Other
Enumeration date
08/10/2024
Last updated
08/10/2024
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