Individual
DR. JOAN RENAE BAUERNFIEND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
255 W 36TH ST, STE. 240, JASPER, IN 47546-7849
(812) 481-2100
(812) 481-2144
Mailing address
9412 E STATE ROAD 64, APT A, VELPEN, IN 47590-8857
(812) 631-1888
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003529A
IN
Other
Enumeration date
07/03/2008
Last updated
08/13/2009
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