Individual
PATRICIA M BAUMGARTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CO
Contact information
Practice address
4602 EASTPARK BLVD, MADISON, WI 53718-2002
(608) 440-6677
Mailing address
5601 PORTAGE RD RM 1814, MADISON, WI 53718-2758
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
CO006787
WI
Other
Enumeration date
08/02/2024
Last updated
08/02/2024
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