Individual
DR. SUSAN BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
705 PLEASANT AVE S, PARK RAPIDS, MN 56470-1440
(218) 732-2800
Mailing address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
65191
MN
207Q00000X
Family Medicine Physician
R-15-2016
NM
Other
Enumeration date
06/08/2016
Last updated
05/16/2019
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