Individual
HATTIE ROSE BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
35 W SCOTT ST, FOND DU LAC, WI 54935-2342
(920) 922-2930
Mailing address
35 W SCOTT ST, FOND DU LAC, WI 54935-2342
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/14/2025
Last updated
05/29/2025
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