Individual
DR. KELLY BAKIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
N56W15501 SILVER SPRING DR, MENOMONEE FALLS, WI 53051-5971
(262) 703-9781
Mailing address
N56W15501 SILVER SPRING DR, MENOMONEE FALLS, WI 53051-5971
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18799-40
WI
Other
Enumeration date
02/21/2020
Last updated
02/21/2020
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