Individual
MRS. TERRYL BAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
W47 COUNTY ROAD Z, ELEVA, WI 54738-9577
(715) 946-3226
Mailing address
W47 COUNTY ROAD Z, ELEVA, WI 54738-9577
(715) 946-3226
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
6665-16
WI
Other
Enumeration date
09/15/2014
Last updated
09/15/2014
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