Tyrell Bauer
Case Manager/Care Coordinator in Bismarck, ND. Individual provider (NPI-1).
NPI number1639987969
StatusActive
Last updated in NPPESDec 19, 2024
Details
- NPI
- 1639987969
- Entity type
- Individual (NPI-1)
- Name
- Tyrell Bauer
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 19, 2024
- Certification date
- Dec 19, 2024
- Last updated
- Dec 19, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | 00000 | ND | Yes |
Practice location
525 N 9th StBismarck, ND 58501-4510
Phone 701-421-3324 · Fax 701-751-2274
Mailing address
525 N 9th StBismarck, ND 58501-4510
Phone 701-421-3324 · Fax 701-751-2274
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