Individual
CARLY BARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2400 PINE RIDGE BLVD, WAUSAU, WI 54401-7803
(715) 847-2022
Mailing address
2400 PINE RIDGE BLVD, WAUSAU, WI 54401-7803
(715) 847-2022
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
204948
WI
Other
Enumeration date
08/12/2021
Last updated
08/12/2021
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