Most Relevant Information
Provider Data
| NPI Number: | 1003394099 |
| Provider Name: | IAN WILLIAM BAUERSFELD DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | PT5180 |
Most Important Dates
| Enumeration Date: | 08/01/2018 |
| Last Updated: | 08/01/2018 |
Provider Practice Location
277 STATE ST STE 1B
BANGOR
ME
044015440
Practice Location Phone/Fax
| Phone: | 2079224000 |
| Fax: |
Provider Mailing Location
64 2ND ST APT 1
BANGOR
ME
044016244
Provider Mailing Phone/Fax
| Phone: | 2075382503 |
| Fax: |