MICHAEL BAESE

MILWAUKEE, WI
NPI1730344532
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MO  2007024550)
Enumeration Date2008-07-22
Last Update Date2010-09-22
Business Address
-- MICHAEL BAESE MS, LAT, ATC
2901 W KINNICKINNIC RIVER PKWY SUITE 102
MILWAUKEE, WI 53215-3677
Phone number: 414-540-3304
Mailing Address
-- MICHAEL BAESE MS, LAT, ATC
217 GREEN BAY RD APT C
THIENSVILLE, WI 53092-1651
Phone number: 314-681-5927
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