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Individual

MR. LIAM MICHAEL BAHNEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
801 BRAXTON PL, MADISON, WI 53715-1415
(608) 260-2700
Mailing address
625 BABCOCK DR, MADISON, WI 53706-1204
(612) 432-7219

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
10866195
MN
376K00000X
Nurse's Aide
Primary
WI037940401582
WI

Other

Enumeration date
02/24/2025
Last updated
02/24/2025
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