INGMAR NIELS BASTIAN

HOUSTON, TX
NPI1073263992
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207V00000X Obstetrics & Gynecology
(Licence: WI  Student)
Enumeration Date2022-03-24
Last Update Date2022-03-24
Business Address
INGMAR NIELS BASTIAN Student
1 BAYLOR PLZ
HOUSTON, TX 77030-3411
Phone number: 832-826-7354
Mailing Address
INGMAR NIELS BASTIAN Student
3006 BLUFF ST
MADISON, WI 53705-3422
Phone number: 415-272-9528
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