MEDICARE: CAROL L 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
1	208000000X	Pediatrics Physician	22981	WA

General Provider Information

NPI Number	:	1326014754
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAROL L BAER MD

Provider Business Mailing Address
First Line	:	14711 NE 29TH PL
Second Line	:	SUITE #255
City	:	BELLEVUE
State	:	WA
Zip	:	98007-7666
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	13030 121ST WAY NE
Second Line	:	SUITE #100
City	:	KIRKLAND
State	:	WA
Zip	:	98034-3008
Country	:	US
Telephone Number	:	425-814-5170
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/25/2006
Last Update Date	:	06/12/2012

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Directions to “ CAROL L BAER MD” Practice Location

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