Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | 55554 | MN |
N | 207VX0000X | Obstetrician | 55554 | MN |
NPI | 1427366814 |
---|---|
Provider Name | Dr. Leigh F Bauer |
First Address | Crosby, MN 56441-1645 |
Second Address | Crosby, MN 56441-1645 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2010 |
Last Update Date | 18/03/2013 |