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Individual

DR. JAMIE L BAISDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
9200 W WISCONSIN AVE, DEPARTMENT OF NEUROSURGERY, MILWAUKEE, WI 53226-3522
(414) 805-5400
(414) 955-0115
Mailing address
9200 W WISCONSIN AVE, DEPARTMENT OF NEUROSURGERY, MILWAUKEE, WI 53226-3522
(414) 805-5400
(414) 955-0115

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
35262
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
002000108Q
HUMANA
05
1811948334
WI
05
32036700
WI
Enumeration date
05/12/2006
Last updated
11/09/2012
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