Individual
DR. DAVID VINCENT BAEWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
1000 MINERAL POINT AVE, JANESVILLE, WI 53548-2940
(608) 756-6761
(608) 756-6572
Mailing address
1000 MINERAL POINT AVE, JANESVILLE, WI 53548-2940
(608) 756-6761
(608) 756-6572
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
56809-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1710146576
—
WI
05
—
7100457970
—
KY
Enumeration date
06/06/2008
Last updated
03/17/2018
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