Individual
MRS. CHARLENE MAE BAUMGARTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1205 NORTH AVE, CLEVELAND, WI 53015-1413
(920) 639-5611
Mailing address
3417 N 34TH ST, SHEBOYGAN, WI 53083-2658
(920) 693-5611
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
90867-030
WI
Other
Enumeration date
06/21/2007
Last updated
07/08/2007
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