Bauer, Mary Grace Anne

Bauer, Mary Grace Anne is an individual health care provider with primary practice located at 25311 Little Mack Ave Ste B , Saint Clair Shores MI 48081-3301. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Bauer, Mary Grace Anne can be contacted via phone (586) 498-2400.

Contact Information

Primary practice address
25311 Little Mack Ave Ste B Saint Clair Shores MI 48081-3301
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601008646 Michigan

Profile Details

NPI number 1831688308
LBN Legal business name Bauer, Mary Grace Anne
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2018
Last updated May 9th, 2018 - about 8 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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