Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MICHAEL RICKY BUBACZ, MSN, APNP
Active Sole ProprietorMR. MICHAEL RICKY BUBACZ, MSN, APNP is a Adult Health Nurse Practitioner healthcare provider located in LAKE TOMAHAWK, Wisconsin. NPI 1679760128 is currently active in the NPPES registry. Verify at CMS.
Adult Health Nurse Practitioner · LAKE TOMAHAWK, WI
Registration Details
- NPI Number
- 1679760128
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 28, 2007 (18.915648188826 yrs)
- Last Updated
- Sep 28, 2007
- License
-
2806-33 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
7520 WOLF RDLAKE TOMAHAWK, WI, 545399487Browse WI providers · Browse ZIP 54539
- Phone
- 7152772848
- Primary Specialty
-
Adult Health Nurse Practitioner
363LA2200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.