person
Mr. Matthew Joseph Baucom, RPSGT
Electroneurodiagnostic Specialist/Technologist in Mequon, Wisconsin
NPI 1851488720

Matthew Joseph Baucom is a Electroneurodiagnostic Specialist/Technologist based in Port Washington, WI and is specialized in Electroneurodiagnostic. Matthew Joseph Baucom practices in Mequon, WI and has the professional credentials of RPSGT. The NPI Number for Matthew Joseph Baucom is 1851488720 and holds a License No. (Wisconsin).

The current practice location address for Matthew Joseph Baucom is 11649 N Port Washington Rd, Mequon, WI and can be reached out via phone at 262-241-8022 and via fax at 262-241-8047. You can also correspond with Matthew Joseph Baucom through the mailing address at 1580 W PORTVIEW DR, PORT WASHINGTON, WI - 53074 (mailing address contact number: 262-894-6833).

Location: 11649 N Port Washington Rd, Mequon, WI, 53074
person
Provider Profile Details
NPI Number
1851488720
Provider Name
Matthew Joseph Baucom
Credential
RPSGT
Provider Entity Type
Individual
Gender
Male
Address
11649 N Port Washington Rd, Mequon, WI, 53074
Phone Number
262-241-8022
Fax Number
262-241-8047
Provider Enumeration Date
10/10/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
11649 N Port Washington Rd
City
State
Zip
53092
Phone Number
262-241-8022
Fax Number
262-241-8047
person
Provider Business Mailing Address Details
Address
11649 N Port Washington Rd
City
State
Zip
53092
Phone Number
262-241-8022
Fax Number
262-241-8047
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Specialist/Technologist, Other
Speciality
Electroneurodiagnostic
Taxonomy
License No.
()
Definition
Definition to come...
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