Individual
DR. JARED BACARDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2301 N LAKE DR RM 3664, MILWAUKEE, WI 53211-4508
(414) 585-1458
Mailing address
2301 N LAKE DR RM 3664, MILWAUKEE, WI 53211-4508
(414) 585-1458
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
3902000000X
WI
Other
Enumeration date
06/11/2024
Last updated
06/11/2024
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