Individual
MRS. CARRIE KRISTEN BAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
3925 N GATEWAY DR, APPLETON, WI 54913-7863
(920) 749-1171
Mailing address
3232N BALLARD RD 200, APPLETON, WI 54911-8804
(920) 749-9668
(920) 734-5307
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2049-29
WI
Other
Enumeration date
03/21/2007
Last updated
09/17/2015
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