Individual
BRIAN BAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED., ATC
Contact information
Practice address
1903 W MICHIGAN AVE, KALAMAZOO, MI 49008-5200
(269) 387-8653
Mailing address
7224 MARFIELD ST, PORTAGE, MI 49024-4233
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
MI
Other
Enumeration date
02/20/2007
Last updated
07/08/2007
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