SHANE D BAUER

FOND DU LAC, WI
NPI1144200676
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: WI  5173-024)
Enumeration Date2006-01-19
Last Update Date2021-09-09
Business Address
Mr. SHANE D BAUER P.T.
355 N PETERS AVE
FOND DU LAC, WI 54935-8258
Phone number: 920-929-9712
Mailing Address
Mr. SHANE D BAUER P.T.
2105 E ENTERPRISE AVE STE 113
APPLETON, WI 54913-7862
Phone number: 920-991-2561
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