SHANE BREEZE-BALDAUF

MILWAUKEE, WI
NPI1891159612
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: WI  68339)
Enumeration Date2016-04-07
Last Update Date2021-11-24
Business Address
SHANE BREEZE-BALDAUF
1575 N RIVERCENTER DR
MILWAUKEE, WI 53212
Phone number: 414-283-8444
Mailing Address
SHANE BREEZE-BALDAUF
1575 N RIVERCENTER DR
MILWAUKEE, WI 53212-3978
Phone number: 414-283-8444