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1891159612
SHANE BREEZE-BALDAUF
MILWAUKEE, WI
NPI
1891159612
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WI 68339)
Enumeration Date
2016-04-07
Last Update Date
2021-11-24
Business Address
SHANE BREEZE-BALDAUF
1575 N RIVERCENTER DR
MILWAUKEE, WI 53212
Phone number: 414-283-8444
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Mailing Address
SHANE BREEZE-BALDAUF
1575 N RIVERCENTER DR
MILWAUKEE, WI 53212-3978
Phone number: 414-283-8444
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