JEFFREY M BASTASIC

MENASHA, WI
NPI1164547600
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: WI  52366)
Enumeration Date2007-03-21
Last Update Date2021-01-06
Business Address
JEFFREY M BASTASIC MD
878 W AIRPORT RD
MENASHA, WI 54952-1461
Phone number: 920-727-5982
Mailing Address
JEFFREY M BASTASIC MD
878 W AIRPORT RD
MENASHA, WI 54952-1461
Phone number: 920-727-5982
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