THERESA J BASELEY

FOND DU LAC, WI
NPI1043279805
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: WI  2688-033)
Enumeration Date2006-03-21
Last Update Date2021-11-22
Business Address
THERESA J BASELEY NP
210 WISCONSIN AMERICAN DR
FOND DU LAC, WI 54937-2999
Phone number: 920-907-7000
Mailing Address
THERESA J BASELEY NP
3301 W FOREST HOME AVE
MILWAUKEE, WI 53215-2843
Phone number: 414-389-2377
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