KACI BAUSKE

MICHIGAN CITY, IN
NPI1013684752
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: IN  71011929A)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: IN  28217390A)
363L00000X Nurse Practitioner
(Licence: IN  71011929A)
Enumeration Date2021-08-29
Last Update Date2023-02-23
Business Address
KACI BAUSKE
8733 W 400 N
MICHIGAN CITY, IN 46360-9330
Phone number: 219-831-8740
Mailing Address
KACI BAUSKE
PO BOX 781076
DETROIT, MI 48278-1076
Phone number: 317-528-4800