KATHY BACH

FORT WAYNE, IN
NPI1497498315
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208600000X Surgery
(Licence: IN  11023184A)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2022-04-18
Last Update Date2023-07-26
Business Address
KATHY BACH MD
2200 RANDALLIA DR GME ADMIN - SECOND FLOOR - SURGERY
FORT WAYNE, IN 46805
Phone number: 260-373-5941
Mailing Address
KATHY BACH MD
749 UNIVERSITY ROW STE 200
MADISON, WI 53705
Phone number: 608-263-6400