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Individual

ERIC BAUMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN, APNP

Contact information

Practice address
722 LOIS DR, SUN PRAIRIE, WI 53590-1100
(608) 837-9112
Mailing address
17 S RIVER ST STE 254, JANESVILLE, WI 53548-3863

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
11853-33
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11853-33
WI

Other

Enumeration date
03/28/2022
Last updated
04/04/2022
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