Bruce Richard Bacon, RN Valid NPI

Individual provider · Rehabilitation Registered Nurse · Milwaukee, WI

NPI

1720097371

Type

Individual (Type 1)

Primary specialty

Rehabilitation Registered Nurse (Registered Nurse)

Specialty group

Nursing Service Providers

Taxonomy code

163WR0400X

License number

122292-30 (WI)

Sex

Male

Sole proprietor

No

Enumerated

2006-08-05

Last updated

2007-07-08