Michael Ricky Bubacz MSN, APNP

NPI 1679760128 - Nurse Practitioner - 363LA2200X

NPI Details
NPI 1679760128
Gender Male
Enumeration Date 09/28/2007
Last Updated 09/28/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
7520 WOLF RD
LAKE TOMAHAWK WI, 54539-9487, US
Phone (715) 277-2848
Fax
Business Location
7520 WOLF RD
LAKE TOMAHAWK WI, 54539-9487, US
Phone (715) 277-2848
Fax
Toxanomy
Taxonomy Code 363LA2200X
License State Wisconsin
License Number 2806-33
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According to our database, Mr. Michael Ricky Bubacz MSN, APNP NPI is 1679760128, taxonomy code is 363LA2200X and license number is 2806-33, license state is located at Wisconsin. Michael Ricky Bubacz MSN, APNP physically located at 7520 Wolf Rd, Lake Tomahawk WI, 54539-9487. NPI Number Michael Ricky Bubacz MSN, APNP has the Individual type.

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1679760128 NPI number is provided on an as is basis without warranty of any kind. 1679760128 is maintained by the National Plan & Provider Enumeration System. The contents of Michael Ricky Bubacz MSN, APNP are for informational purposes only.