Individual
JENNIFER BAERENWALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
W2721 BROOKHAVEN DR, APPLETON, WI 54915-8184
(920) 423-3438
(920) 423-3489
Mailing address
W3208 VAN ROY RD, APPLETON, WI 54915-4086
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
118818
MN
183500000X
Pharmacist
Primary
14960-40
WI
Other
Enumeration date
07/08/2013
Last updated
01/06/2020
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