Doctor Name: | ANDREA MARGOT BAER |
NPI Number: | 1699181016 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ATC |
License Number: | AT.004837 |
Business Practice Address: | 2801 W Bancroft St Ms203 Toledo, OH - 436063328 |
Business Phone Number: | 3307013580 |
Business Fax Number: | |
Mailing Address: | 2211 Scottwood Ave, Apartment 1 TOLEDO |
State: | OH |
Postal Code: | 436201161 |
Phone Number: | 3307013580 |
Fax Number: | |
NPI Enumeration Date: | 07/07/2014 |
NPI Last Update Date: | 05/26/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | AT.004837 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |