Individual
CYNTHIA J BAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
2310 CRESTVIEW DR, HUDSON, WI 54016
(715) 531-6802
(715) 531-6803
Mailing address
403 STAGELINE RD, HUDSON, WI 54016
(715) 531-6800
(715) 531-6801
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1220
WI
363A00000X
Physician Assistant
122023
WI
363A00000X
Physician Assistant
9534
MN
Other
Enumeration date
09/29/2006
Last updated
08/14/2008
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