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NPI Code Detail

MEDICARE: NATALIE BAER MD

MEDICARE:   NATALIE  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
1390200000XStudent in an Organized Health Care Education/Training Program57OH
2207Q00000XFamily Medicine Physician4301114004MI

General Provider Information

NPI Number : 1912389412
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATALIE BAER MD
Provider Business Mailing Address
First Line : PO BOX 446
Second Line :
City : ANN ARBOR
State : MI
Zip : 48106-0446
Country : US
Telephone Number : 734-747-6766
Fax Number :
Provider Business Practice Location Address
First Line : 23200 PONTIAC TRL STE 100
Second Line :
City : SOUTH LYON
State : MI
Zip : 48178-1983
Country : US
Telephone Number : 248-446-2935
Fax Number : 248-446-2936
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2015
Last Update Date : 11/20/2018

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Directions to “ NATALIE BAER MD” Practice Location

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