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Individual

DR. KEVIN T BAUERLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
105 W 8TH AVE STE 7010, SPOKANE, WA 99204-2312
(509) 474-6525
Mailing address
PO BOX 31001-4114, PASADENA, CA 91110-4114

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2018006614
MO
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
2018006614
MO
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
MD70006622
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200056702
MO
Enumeration date
07/10/2012
Last updated
08/03/2025
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