ZACHARY J BAESEMAN

THEDACARE INCORPORATED

Dr ZACHARY J BAESEMAN is a male medical professional, specializing in Family Medicine. He graduated in 2010 from University Of Wisconsin Medical School.

Contact

THEDACARE INCORPORATED

701 GROVE AVE
WILD ROSE
WI
549846901

Tel: 9206225560

ZACHARY J BAESEMAN Information

Npi 1649597501
Pac Id 2365602620
Professional Enrollment Id I20120322000705
Last Name BAESEMAN
First Name ZACHARY
Middle Name J
Suffix
Gender M
Credential
Medical School Name UNIVERSITY OF WISCONSIN MEDICAL SCHOOL
Graduation Year 2010
Primary Specialty FAMILY MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name THEDACARE INCORPORATED
Group Practice Pac Id 1759294887
Number Of Group Practice Members 478
Line 1 Street Address 701 GROVE AVE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City WILD ROSE
State WI
Zip Code 549846901
Phone Number 9206225560
Hospital Affiliation Ccn 1 521334
Hospital Affiliation Lbn 1 RIVERSIDE MEDICAL CENTER
Hospital Affiliation Ccn 2 521303
Hospital Affiliation Lbn 2 WILD ROSE COMMUNITY MEMORIAL HOSPITAL
Hospital Affiliation Ccn 3 520045
Hospital Affiliation Lbn 3 THEDA CLARK MEDICAL CENTER
Hospital Affiliation Ccn 4 520160
Hospital Affiliation Lbn 4 THEDACARE REGIONAL MEDICAL CENTER - APPLETON INC
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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