Individual
MRS. JULIA LYNN BAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.A
Contact information
Practice address
5434 W CAPITOL DR, MILWAUKEE, WI 53216-2298
(414) 444-4822
Mailing address
W234N7096 FLINTLOCK DR E, SUSSEX, WI 53089-3200
(262) 246-9127
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
1063019
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36123800
—
WI
Enumeration date
04/26/2008
Last updated
04/26/2008
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