Individual
DR. MELISSA E BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1500 E MEDICAL CENTER DR, 1H247 UNIVERSITY HOSPITAL, ANN ARBOR, MI 48109-5048
(734) 936-4280
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
5101016355
MI
207L00000X
Anesthesiology Physician
N5551
TX
390200000X
Student in an Organized Health Care Education/Training Program
5101016355
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2168767-01
—
TX
01
—
8CL171
BLUE CROSS BLUE SHITLD
TX
Enumeration date
03/30/2007
Last updated
08/10/2011
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