Individual
SHANDRA ANN BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
451 JUNCTION RD, MADISON, WI 53717-2656
(608) 829-5485
Mailing address
6242 SANDSNES LN, MADISON, WI 53719-4851
(414) 339-3212
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
06/14/2011
Last updated
11/08/2018
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