NPI 1851488720

Matthew Joseph Baucom, RPSGT

Practitioner Electroneurodiagnostic Specialist/Technologist Mequon, WI

Practice location

Address: 11649 N Port Washington Rd STE 109, Mequon, WI 53092
Phone: (262) 241-8022
Fax: (262) 241-8047
Mailing address: 1580 W Portview Dr APT #2, Port Washington, WI 53074

Registered specialties

Electroneurodiagnostic Specialist/Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZE0600X

Other Specialist/Technologist, Other providers in Wisconsin →

Registry record

NPI: 1851488720
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Oct 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.