Individual
MARY GRACE ANNE BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
25311 LITTLE MACK AVE STE B, SAINT CLAIR SHORES, MI 48081-3301
(586) 498-2400
Mailing address
25311 LITTLE MACK AVE STE B, SAINT CLAIR SHORES, MI 48081-3301
(586) 498-2400
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601008646
MI
Other
Enumeration date
05/09/2018
Last updated
05/09/2018
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