Individual
MICHELLE PAUL BAHN-PALMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
608 W BROWN ST, WAUPUN, WI 53963-1702
(231) 727-5250
(231) 727-5248
Mailing address
1808 W BELTLINE HWY, ATTN: NANCY PIERCE SSM HEALTH FDL REGIONAL CLINIC, MADISON, WI 53713-2334
(920) 926-8343
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
5101017998
MI
207V00000X
Obstetrics & Gynecology Physician
Primary
57412-21
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100027651
—
WI
Enumeration date
08/06/2008
Last updated
04/03/2023
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