MEDICARE: MICHAEL BAER

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	2084N0008X	Neuromuscular Medicine (Psychiatry & Neurology) Physician	MD474458	PA

General Provider Information

NPI Number	:	1851823827
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL BAER

Provider Business Mailing Address
First Line	:	330 S 9TH ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19107-6103
Country	:	US
Telephone Number	:	215-829-6500
Fax Number	:

Provider Business Practice Location Address
First Line	:	330 S 9TH ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19107-6103
Country	:	US
Telephone Number	:	267-581-6768
Fax Number	:

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

Provider Enumeration Date	:	03/29/2017
Last Update Date	:	04/06/2026

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Directions to “ MICHAEL BAER ” Practice Location

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