Michael Mooney Bauer in Detroit - Physician Assistant
Michael Mooney Bauer - NPI 1760528277
Michael Mooney Bauer is a Physician Assistant in Detroit, Michigan. Michael Mooney Bauer practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Michael Mooney Bauer is 1760528277. The last update date is 2015-02-25.
Michael Mooney Bauer's current location address is 3990 John R St, Detroit, Michigan. You can contact this provider via phone number 2488082979. The mailing address for Michael Mooney Bauer is 3990 John R St, Detroit, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Mooney Bauer |
|---|---|
| Address | 3990 John R St, Detroit, Michigan |
| Phone Number | 2488082979 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.S., PA-C |
NPI Number Detail
| NPI Number | 1760528277 |
|---|---|
| Provider Enumeration Date | 2007-01-30 |
| Last Updated Date | 2015-02-25 |
Provider Mailing Address Detail
| Address | 3990 John R St |
|---|---|
| City | Detroit |
| State | Michigan (MI) |
| Post Code | 482012018 |
| Phone Number | 2488082979 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 5601003591 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique identification code assigned to Michael Mooney Bauer by the Centers for Medicare & Medicaid Services?
The Michael Mooney Bauer has been issued the NPI (National Provider Identifier) 1760528277. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Michael Mooney Bauer is geographically located?
The Michael Mooney Bauer is physically situated at the following location: 3990 John R St, Detroit, MI, 482012018.
What is Michael Mooney Bauer's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Michael Mooney Bauer's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.
When was the Michael Mooney Bauer's 1760528277 issued?
The Michael Mooney Bauer's 1760528277 was issued on 2007-01-30.
When was the information pertaining to Michael Mooney Bauer most recently updated or revised?
The details related to Michael Mooney Bauer, including its address, specialty, and other relevant information, were last updated or revised on 2015-02-25.
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