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Mr. Michael Ricky Bubacz, MSN,APNP
Adult Health Nurse Practitioner in Lake Tomahawk, Wisconsin
NPI 1679760128

Michael Ricky Bubacz is an Adult Health Nurse Practitioner based in Lake Tomahawk, WI and is specialized in Adult Health. Michael Ricky Bubacz practices in Lake Tomahawk, WI and has the professional credentials of MSN,APNP. The NPI Number for Michael Ricky Bubacz is 1679760128 and holds a License No. 2806-33 (Wisconsin).

The current practice location address for Michael Ricky Bubacz is 7520 Wolf Rd, Lake Tomahawk, WI and can be reached out via phone at 715-277-2848.

Location: 7520 Wolf Rd, Lake Tomahawk, WI, 54539-9487
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679760128
Provider Name
Michael Ricky Bubacz
Credential
MSN,APNP
Provider Entity Type
Individual
Gender
Male
Address
7520 Wolf Rd, Lake Tomahawk, WI, 54539-9487
Phone Number
715-277-2848
Fax Number
Provider Enumeration Date
09/28/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
7520 Wolf Rd
City
Lake Tomahawk
State
Wisconsin
Zip
54539-9487
Phone Number
715-277-2848
Fax Number
person
Provider Business Mailing Address Details
Address
7520 Wolf Rd
City
Lake Tomahawk
State
Wisconsin
Zip
54539-9487
Phone Number
715-277-2848
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
2806-33 (Wisconsin)
Definition
Definition to come...
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