Individual
DR. NERISSA S. BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2159 GLEBE ST STE 270, CARMEL, IN 46032-7372
(317) 660-5205
(866) 468-0406
Mailing address
4000 W 106TH ST STE 125-196, CARMEL, IN 46032-7720
(317) 660-5205
(866) 468-0406
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01062492A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200827540
—
IN
Enumeration date
07/24/2006
Last updated
04/23/2022
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