Healthcare Provider Details

I. General information

NPI: 1386106409
Provider Name (Legal Business Name): OLIVIA ROSEMARY BAUER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: OLIVIA ROSEMARY TIGHE MD

II. Dates (important events)

Enumeration Date: 04/06/2019
Last Update Date: 04/01/2025
Certification Date: 04/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2213 CHERRY ST
TOLEDO OH
43608-2603
US

IV. Provider business mailing address

6458 BROOKLINE RD
SYLVANIA OH
43560-3305
US

V. Phone/Fax

Practice location:
  • Phone: 419-251-3232
  • Fax:
Mailing address:
  • Phone: 561-324-5552
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code171000000X
TaxonomyMilitary Health Care Provider
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: