MR. Wayne Backman, 2128-19

NPI #1437561669 in Stoughton, Wisconsin

Provider Information

NPI Number
1437561669
Entity Type
Individual
Name
MR. Wayne Backman, 2128-19
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Skilled Nursing Facility
Credential
2128-19
Enumeration Date
May 22, 2014
Last Updated
May 22, 2014

Practice Location

Address
400 N MORRIS ST
ZIP Code
53589-1857
Phone
(608) 873-5651

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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