Individual
MATTHEW JAMES BAECHLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
214 E 23RD ST, CHEYENNE, WY 82001-3748
(307) 432-6629
(307) 996-4525
Mailing address
PO BOX 20970, CHEYENNE, WY 82003-7020
(307) 634-2273
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
16107A
WY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2020
Last updated
11/11/2024
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