Individual
MISS HARPER EMME BAENEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1100 BERGSLIEN ST, BALDWIN, WI 54002-2600
(715) 684-1111
Mailing address
216 E MADISON ST, SPRING GREEN, WI 53588-9289
(608) 459-5929
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2481
WI
Other
Enumeration date
02/23/2022
Last updated
02/23/2022
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