Individual
ZACHARY J BAESEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
710 RIVERSIDE DR, WAUPACA, WI 54981-1941
(715) 256-3000
(715) 256-3039
Mailing address
710 RIVERSIDE DR, WAUPACA, WI 54981-1941
(715) 256-3062
(715) 256-3089
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
56357
WI
Other
Enumeration date
04/30/2010
Last updated
04/18/2017
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