Individual
NICHOLE BAUMBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM
Contact information
Practice address
1114 PAULINE AVE, MADISON, WI 53705-1353
(608) 225-9510
Mailing address
1114 PAULINE AVE, MADISON, WI 53705-1353
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
49-74
WI
Other
Enumeration date
09/23/2019
Last updated
09/23/2019
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