Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0106X | Orthopaedic Hand Surgeon | OP 60019552 | WA |
NPI | 1215101290 |
---|---|
Provider Name | Dr. Ruth Marie Baer |
First Address | East Lansing, MI 48824-7015 |
Second Address | East Lansing, MI 48824-6569 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/04/2008 |
Last Update Date | 07/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1215101290 | (05) | MI |