IndividualActive
Matthew Baucom, RPSGT
NPI 1851488720 · Electroneurodiagnostic Specialist/Technologist · Mequon, WI
Provider details
- NPI number
- 1851488720
- Entity type
- Individual
- Primary specialty
- Electroneurodiagnostic Specialist/TechnologistTechnologists, Technicians & Other Technical Service Providers
- Credential
- RPSGT
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
11649 N Port Washington Rd
Ste 109
Mequon, WI 53092
Phone: (262) 241-8022
Fax: (262) 241-8047
Approximate (ZIP-level) locationGet directions
Mailing address
1580 W Portview Dr
Port Washington, WI 53074
Registry dates
- Enumerated
- 2006-10-10
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.