Wayne Backman, 2128-19 Valid NPI
Individual provider · Skilled Nursing Facility · Stoughton, WI
- NPI
- 1437561669
- Type
- Individual (Type 1)
- Primary specialty
- Skilled Nursing Facility
- Specialty group
- Nursing & Custodial Care Facilities
- Taxonomy code
- 314000000X
- License number
- 2128-19 (WI)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2014-05-22
- Last updated
- 2014-05-22
Practice location
400 N Morris St
Stoughton, WI 53589-1857
(608) 873-5651