Individual
MAX A BAIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
2553 KEN GRAY BLVD, WEST FRANKFORT, IL 62896-4174
(618) 932-3937
(618) 932-2734
Mailing address
300 W OAK ST, CARBONDALE, IL 62901-1400
(618) 932-3937
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
085-000253
IL
363L00000X
Nurse Practitioner
Primary
209004084
IL
Other
Enumeration date
12/21/2005
Last updated
12/20/2021
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