Healthcare Provider Details

I. General information

NPI: 1265400345
Provider Name (Legal Business Name): MARCIE BAER M.AC, L.AC.
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 03/14/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10716 LITTLE PATUXENT PKWY SUITE 110
COLUMBIA MD
21044-3106
US

IV. Provider business mailing address

1500 BRANCHWOOD DR
GAMBRILLS MD
21054-2120
US

V. Phone/Fax

Practice location:
  • Phone: 410-992-0080
  • Fax:
Mailing address:
  • Phone: 410-992-0080
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberU00741
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: