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NPI Code Detail

MEDICARE: DR. MICHELLE MERYL BAER MD

MEDICARE: DR. MICHELLE MERYL BAER MD
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
1207Q00000XFamily Medicine PhysicianMD61275561WA
2207Q00000XFamily Medicine PhysicianA176816CA

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 : 1487210373
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHELLE MERYL BAER MD
Provider Business Mailing Address
First Line : 2951 BENEFIT WAY
Second Line :
City : SACRAMENTO
State : CA
Zip : 95834-1272
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2951 BENEFIT WAY
Second Line :
City : SACRAMENTO
State : CA
Zip : 95834-1272
Country : US
Telephone Number : 916-285-8100
Fax Number : 916-285-8115
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2019
Last Update Date : 04/12/2024

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Directions to “ DR. MICHELLE MERYL BAER MD” Practice Location

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