Individual
DR. MICHAEL R BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2220 RIVERSIDE AVE S, MINNEAPOLIS, MN 55454
(612) 371-1605
(612) 373-5591
Mailing address
MAIL CODE 21113A, PO BOX 1309, MINNEAPOLIS, MN 55440-1309
(952) 883-5151
(952) 883-5160
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9665
MN
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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