Individual
JAMES BACON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
507 S MAIN ST, VIROQUA, WI 54665-2059
(608) 637-4385
Mailing address
507 S MAIN ST, VIROQUA, WI 54665-2059
(608) 637-4385
Taxonomy
Speciality
Code
Description
License number
State
282NR1301X
Rural Acute Care Hospital
Primary
487624
WI
Other
Enumeration date
01/02/2015
Last updated
01/02/2015
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