Individual
DR. PAMELA C BAETEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
704 S WEBSTER AVE, STE 500, GREEN BAY, WI 54301-3528
(920) 468-9588
(920) 468-1342
Mailing address
704 S WEBSTER AVE, STE 500, GREEN BAY, WI 54301-3528
(920) 468-9588
(920) 468-1342
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
38912
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32360200
—
WI
Enumeration date
05/24/2005
Last updated
11/07/2007
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