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NPI Code Detail

MEDICARE: WILLIAM R BAUER MD, PHD

MEDICARE: WILLIAM R BAUER MD, PHD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084N0400XNeurology Physician35030383OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2000000118256OTHEROHANTHEM
37156412OTHEROHAETNA
401905OTHEROHPARAMOUNT

General Provider Information

NPI Number : 1316931942
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM R BAUER MD, PHD
Provider Business Mailing Address
First Line : 5433 STATE ROUTE 113
Second Line :
City : BELLEVUE
State : OH
Zip : 44811-9708
Country : US
Telephone Number : 419-483-2403
Fax Number : 419-483-8418
Provider Business Practice Location Address
First Line : 5433 STATE ROUTE 113
Second Line :
City : BELLEVUE
State : OH
Zip : 44811-9708
Country : US
Telephone Number : 419-483-2403
Fax Number : 419-483-8418
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/09/2005
Last Update Date : 04/29/2013

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Directions to “ WILLIAM R BAUER MD, PHD” Practice Location

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