Individual
KORINA MAE BAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM
Contact information
Practice address
105 PINE CREST LN STE D, IOLA, WI 54945-8230
(715) 853-2082
Mailing address
430 S ANDREWS ST, SHAWANO, WI 54166-2902
(715) 853-2082
(866) 933-1286
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
99-49
WI
Other
Enumeration date
02/17/2016
Last updated
07/18/2023
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