Provider Demographics
NPI:1568466340
Name:BAYER, STEVEN M (DO)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:M
Last Name:BAYER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:801 MACARTHUR BLVD
Mailing Address - Street 2:STE 404
Mailing Address - City:MUNSTER
Mailing Address - State:IN
Mailing Address - Zip Code:46321-2919
Mailing Address - Country:US
Mailing Address - Phone:219-836-2995
Mailing Address - Fax:219-836-4075
Practice Address - Street 1:801 MACARTHUR BLVD
Practice Address - Street 2:STE 404
Practice Address - City:MUNSTER
Practice Address - State:IN
Practice Address - Zip Code:46321-2919
Practice Address - Country:US
Practice Address - Phone:219-836-2995
Practice Address - Fax:219-836-4075
Is Sole Proprietor?:No
Enumeration Date:2005-06-09
Last Update Date:2014-10-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN02000796A2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100326530Medicaid
IN498700AMedicare ID - Type Unspecified
IN100326530Medicaid