Individual
BAEDERO KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
W162N9235 PERSHING AVE, MENOMONEE FALLS, WI 53051-4026
(262) 946-6070
Mailing address
W162N9235 PERSHING AVE, MENOMONEE FALLS, WI 53051-4026
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18270-40
WI
Other
Enumeration date
07/17/2016
Last updated
07/17/2016
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