MATTHEW GENE KOPP BAKER

LA CROSSE, WI
NPI1114550985
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367H00000X Anesthesiologist Assistant
(Licence: WI  158)
Enumeration Date2020-02-19
Last Update Date2020-02-19
Business Address
Mr. MATTHEW GENE KOPP BAKER AA-C
1836 SOUTH AVE
LA CROSSE, WI 54601-5429
Phone number: 608-782-7300
Mailing Address
Mr. MATTHEW GENE KOPP BAKER AA-C
1836 SOUTH AVE
LA CROSSE, WI 54601-5429
Phone number: 608-782-7300
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