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 |
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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 |
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Provider Enumeration Date | 2005-08-31 |
Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
Address | 17280 W North Ave |
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City | Brookfield |
State | Wisconsin (WI) |
Post Code | 530454366 |
Phone Number | 2627548000 |
Fax Number | 2627548008 |
Provider's Primary Taxonomy Detail
Speciality | Gynecology |
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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 | -- |
Post Comment/ Review Below
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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