Bauer, Michael

Bauer, Michael is an individual health care provider with primary practice located at 710 Riverside Dr , Waupaca WI 54981-1941. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bauer, Michael can be contacted via phone (715) 258-1160.

Contact Information

Primary practice address
710 Riverside Dr Waupaca WI 54981-1941
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 27382 Wisconsin

Profile Details

NPI number 1831121524
LBN Legal business name Bauer, Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2006
Last updated Nov 16th, 2011 - about 15 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 1831121524 NPPES
Wisconsin MEDICAID 30775000

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