Mary Theresa Bauer, PAC

NPI #1437147402 in Independence, Ohio

Provider Information

NPI Number: 1437147402
Entity Type: Individual
Name: Mary Theresa Bauer, PAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PAC
Enumeration Date: Oct 12, 2005
Last Updated: May 14, 2009

Practice Location

Address: 6701 ROCKSIDE RD
Address 2: #260
City: Independence
State: Ohio
ZIP Code: 44131-2358
Phone: (216) 369-2525

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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