Individual
DR. GARY E BAER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
2401 W MAIN ST, MARION, IL 62959-1188
(618) 998-5614
Mailing address
2401 W MAIN ST, MARION, IL 62959-1188
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1120781
—
WA
05
—
1121177
—
WA
Enumeration date
07/26/2006
Last updated
02/06/2008
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