Basic Information
| Provider Information | |||||||||
| NPI: | 1124359625 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BAKMAN | ||||||||
| FirstName: | GALINA | ||||||||
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| Credential: | APNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 125 S 84TH ST FL 4 | ||||||||
| Address2: | |||||||||
| City: | MILWAUKEE | ||||||||
| State: | WI | ||||||||
| PostalCode: | 532141469 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2623079136 | ||||||||
| FaxNumber: | 4142708140 | ||||||||
| Practice Location | |||||||||
| Address1: | 125 S 84TH ST FL 4 | ||||||||
| Address2: | |||||||||
| City: | MILWAUKEE | ||||||||
| State: | WI | ||||||||
| PostalCode: | 532141469 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2623079136 | ||||||||
| FaxNumber: | 8445421980 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/22/2010 | ||||||||
| LastUpdateDate: | 06/29/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 06/29/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | 396133 | WI | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.