Individual
MRS. MICHELLE RENEE BAERENWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
7517 W COLDSPRING RD, GREENFIELD, WI 53220-2814
(414) 327-6603
Mailing address
W2505 FIELDSIDE CT, APPLETON, WI 54915-8735
(920) 788-6533
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3820-24
WI
Other
Enumeration date
02/12/2012
Last updated
02/12/2012
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