Provider Demographics
NPI:1386106409
Name:BAUER, OLIVIA ROSEMARY (MD)
Entity type:Individual
Prefix:DR
First Name:OLIVIA
Middle Name:ROSEMARY
Last Name:BAUER
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:OLIVIA
Other - Middle Name:ROSEMARY
Other - Last Name:TIGHE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:6458 BROOKLINE RD
Mailing Address - Street 2:
Mailing Address - City:SYLVANIA
Mailing Address - State:OH
Mailing Address - Zip Code:43560-3305
Mailing Address - Country:US
Mailing Address - Phone:561-324-5552
Mailing Address - Fax:
Practice Address - Street 1:2213 CHERRY ST
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43608-2603
Practice Address - Country:US
Practice Address - Phone:419-251-3232
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-06
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No171000000XOther Service ProvidersMilitary Health Care Provider