Individual
RICKY F BAUMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2422 N GRANDVIEW BLVD, WAUKESHA, WI 53188-6105
(262) 549-6600
(262) 549-6698
Mailing address
2422 N GRANDVIEW BLVD, WAUKESHA, WI 53188-6105
(262) 549-6600
(262) 549-6698
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
3079131
WI
Other
Enumeration date
12/12/2012
Last updated
12/12/2012
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