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NPI Code Detail

MEDICARE: JENNIFER MARIE BAHR M.D.

MEDICARE: JENNIFER MARIE BAHR M.D.
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
1207P00000XEmergency Medicine Physician53287-020WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1336315324
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER MARIE BAHR M.D.
Provider Business Mailing Address
First Line : 3 NEENAH CTR
Second Line :
City : NEENAH
State : WI
Zip : 54956-3070
Country : US
Telephone Number : 715-258-1000
Fax Number :
Provider Business Practice Location Address
First Line : 800 RIVERSIDE DR
Second Line :
City : WAUPACA
State : WI
Zip : 54981-1943
Country : US
Telephone Number : 715-258-1000
Fax Number : 715-258-1153
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/30/2008
Last Update Date : 12/03/2025

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