Provider Demographics
NPI:1326292392
Name:BAUERMEISTER, WOLFGANG (MD)
Entity Type:Individual
Prefix:
First Name:WOLFGANG
Middle Name:
Last Name:BAUERMEISTER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:TONI-SCHMID-STR. 45A
Mailing Address - Street 2:
Mailing Address - City:MUNICH
Mailing Address - State:BAVARIA
Mailing Address - Zip Code:81825
Mailing Address - Country:DE
Mailing Address - Phone:00498-942-6112
Mailing Address - Fax:
Practice Address - Street 1:TONI-SCHMID-STR. 45A
Practice Address - Street 2:
Practice Address - City:MUNICH
Practice Address - State:BAVARIA
Practice Address - Zip Code:81825
Practice Address - Country:DE
Practice Address - Phone:00498-942-6112
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-04
Last Update Date:2010-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA49514208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation