Wayne Backman, 2128-19

NPI 1437561669 · on the registry since 2014 · sole proprietor

Practice

Address: 400 N Morris St
Stoughton, WI 53589
Phone: (608) 873-5651
Organisation at this address: Skaalen Nursing And Rehabiliation Center, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 23

Registry record

Primary taxonomy: 314000000X
314000000X
Licence states on file: WI
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2014-05-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin