BRENT J BAESE

PORTAGE, MI
NPI1265252449
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
(Licence: MI  AG03240063)
Enumeration Date2024-10-14
Last Update Date2024-10-14
Business Address
BRENT J BAESE AGNP-C
4667 FOX VALLEY DR APT 1B
PORTAGE, MI 49024-8149
Phone number: 269-251-4384
Mailing Address
BRENT J BAESE AGNP-C
4667 FOX VALLEY DR APT 1B
PORTAGE, MI 49024-8149
Phone number: 269-251-4384
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