MARY GRACE ANNE BAUER

GREAT LAKES PHYSIATRISTS PC

Dr MARY GRACE ANNE BAUER is a female medical professional, specializing in Physician Assistant. She graduated in 2018.

Contact

GREAT LAKES PHYSIATRISTS PC

25311 LITTLE MACK AVE B
SAINT CLAIR SHORES
MI
480813301

Tel: 5864982400

MARY GRACE ANNE BAUER Information

Npi 1831688308
Pac Id 8729343611
Professional Enrollment Id I20180523003168
Last Name BAUER
First Name MARY GRACE
Middle Name ANNE
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2018
Primary Specialty PHYSICIAN ASSISTANT
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name GREAT LAKES PHYSIATRISTS PC
Group Practice Pac Id 1153217278
Number Of Group Practice Members 9
Line 1 Street Address 25311 LITTLE MACK AVE B
Line 2 Street Address
Marker Of Address Line 2 Suppression
City SAINT CLAIR SHORES
State MI
Zip Code 480813301
Phone Number 5864982400
Hospital Affiliation Ccn 1 230165
Hospital Affiliation Lbn 1 ST JOHN HOSPITAL AND MEDICAL CENTER
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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