Individual
BAILEY FLOERKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1211 FISH HATCHERY RD., MADISON, WI 53715-1909
(608) 252-8000
(608) 288-6495
Mailing address
1211 FISH HATCHERY RD., MADISON, WI 53715-1909
(608) 252-8000
(608) 288-6495
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5516
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124656103
—
WI
Enumeration date
03/27/2020
Last updated
11/07/2024
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