IndividualActive
Austin Bacchus, M.D.
NPI 1225258171 · Family Medicine Physician · Lake Geneva, WI
Provider details
- NPI number
- 1225258171
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 50490 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
146 E Geneva Sq
Lake Geneva, WI 53147-9694
Phone: (262) 249-4660
Approximate (ZIP-level) locationGet directions
Mailing address
146 E Geneva Sq
Lake Geneva, WI 53147-9694
Registry dates
- Enumerated
- 2007-04-25
- Last updated
- 2021-12-03
- Certified
- 2021-12-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.