Individual provider · Type 1 NPI
Michael Ricky Bubacz, MSN, APNP
Adult Health Nurse Practitioner · Lake Tomahawk, WI
NPI number
1679760128
Active
Practice location
7520 Wolf Rd
Lake Tomahawk, WI 54539-9487
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 2806-33 (WI) |
Adult Health Nurse Practitioner: Definition to come...
About NPI 1679760128
Michael Ricky Bubacz, MSN, APNP's National Provider Identifier is 1679760128, issued on Sep 28, 2007. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Lake Tomahawk, WI. The record was last updated on Sep 28, 2007.