Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Russell William Bauer

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1104769231

Russell William Bauer is a Student in an Organized Health Care Education/Training Program in Sayre, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2026.

Licensed in
PA
In the registry since
2026

Practice location Address checks out

1 Guthrie Sq
Sayre, PA 18840-1625
Phone: (570) 888-6666
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (PA)

Record details

NPI number1104769231
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 13, 2026
Last updated in NPPESApril 13, 2026
Certification dateApril 13, 2026
Mailing address1 Guthrie Sq, Sayre, PA 18840-1625

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