Most Relevant Information
Provider Data
| NPI Number: | 1003527029 |
| Provider Name: | KATIE BAUER |
| Entity Type: | Individual |
| Taxonomy Code: | 2255A2300X |
| Specialty: | Specialist/Technologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/09/2022 |
| Last Updated: | 12/09/2022 |
Provider Practice Location
565 FOREST CT
BROOKFIELD
WI
530453628
Practice Location Phone/Fax
| Phone: | 2623270244 |
| Fax: |
Provider Mailing Location
565 FOREST CT
BROOKFIELD
WI
530453628
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |