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Individual

DR. TODD JOSEPH BAUER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
151 WISCONSIN DELLS PKWY S, WISCONSIN DELLS, WI 53965-8304
(608) 253-0102
(608) 253-0102
Mailing address
N8915 NEWPORT DR, WISCONSIN DELLS, WI 53965-8707
(608) 697-9994

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4029-012
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
38956600
WI
Enumeration date
08/20/2006
Last updated
05/07/2019
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