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Blake Bauman

NPI 1710875208 · on the registry since 2025

Practice

Address
9039 Stellhorn Crossing Parkway
Fort Wayne, IN 46815
Phone
(260) 489-9727

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-06-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana