Donald J Baccus in Brookfield - Gynecology

Donald J Baccus - NPI 1538152962

Donald J Baccus is a Gynecology in Brookfield, Wisconsin. Donald J Baccus practices all healthcare services and medical treatments related to Gynecology. The NPI Number for Donald J Baccus is 1538152962. The last update date is 2007-07-09.

Donald J Baccus's current location address is 17280 W North Ave, Brookfield, Wisconsin. You can contact this provider via phone number 2627548000 and fax number 2627548008. The mailing address for Donald J Baccus is 17280 W North Ave, Brookfield, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Donald J Baccus
Address 17280 W North Ave, Brookfield, Wisconsin
Phone Number 2627548000
Fax Number 2627548008
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1538152962
Provider Enumeration Date 2005-08-31
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 17280 W North Ave
City Brookfield
State Wisconsin (WI)
Post Code 530454366
Phone Number 2627548000
Fax Number 2627548008

Provider's Primary Taxonomy Detail

Speciality Gynecology
Taxonomy 207Vg0400X
Licence No 21134
Definition:
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
30313100 WI --
32666500 WI --

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FAQs about Donald J Baccus

What is the Donald J Baccus's unique identification number?

The Donald J Baccus has been assigned the NPI (National Provider Identifier) Number 1538152962 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete address where Donald J Baccus is physically located?

The Donald J Baccus is situated at the following address: 17280 W North Ave, Brookfield, WI 530454366.

What is the Donald J Baccus's specialty and taxonomy code?

The Donald J Baccus's specialty is Gynecology, and the corresponding taxonomy code is 207Vg0400X.

When did the Donald J Baccus receive its 1538152962?

The Donald J Baccus was issued its 1538152962 on 2005-08-31, which is the date when the organization was assigned this unique identifier.

As of what date were the Donald J Baccus's details last updated?

The information pertaining to the Donald J Baccus, including its address, specialty, and other details, was most recently updated on 2007-07-09.

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