Bauer, Mark A.

Bauer, Mark A. is an individual health care provider with primary practice located at 5233 W. Morgan Ave Suite 102, Milwaukee WI 53220-1559. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Bauer, Mark A. can be contacted via phone (414) 321-8960.

Contact Information

Primary practice address
5233 W. Morgan Ave Suite 102 Milwaukee WI 53220-1559
Phone: (414) 321-8960
Fax: (414) 321-0632
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 18931 Wisconsin
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 18931020 Wisconsin

Profile Details

NPI number 1700834884
LBN Legal business name Bauer, Mark A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Feb 23rd, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700834884 NPPES
Wisconsin MEDICAID 30224300

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