Individual
MICHAEL ALEXANDER BAUMHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1446 HORICON ST, MAYVILLE, WI 53050-1467
(262) 334-4340
Mailing address
1446 HORICON ST, MAYVILLE, WI 53050-1467
(262) 334-4340
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
5156
WI
Other
Enumeration date
05/12/2020
Last updated
11/17/2021
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