Individual
MICHAEL G BASKFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.S.
Contact information
Practice address
199 HOME RD, JUNEAU, WI 53039-1401
(920) 386-3500
(920) 386-3812
Mailing address
199 HOME RD, JUNEAU, WI 53039-1401
(920) 386-3500
(920) 386-3812
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2828-120
WI
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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