| Organization Name: | MARC D BAER DPM LLC |
| NPI Number: | 1093830077 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARC D BAER (PRESIDENT) |
| Mailing Address: | Medical Office Building West Suite 330 Wynnewood |
| State: | PA US |
| Postal Code: | 19096 |
| Phone Number: | 6106425040 |
| Fax Number: | 6106425042 |
| NPI Enumeration Date: | 03/20/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | SC004682L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |