Individual
SALLY JEAN BAECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
N3953 BEAR PEN RD, ARKANSAW, WI 54721-9326
(715) 495-5865
Mailing address
N3953 BEAR PEN RD, ARKANSAW, WI 54721-9326
(715) 495-5865
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
77607
WI
Other
Enumeration date
03/16/2019
Last updated
03/16/2019
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