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NPI Code Detail

MEDICARE: DR. STEVEN D BAISCH M.D.

MEDICARE: DR. STEVEN D BAISCH M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12080P0203XPediatric Critical Care Medicine Physician35180MN

General Provider Information

NPI Number : 1265432769
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEVEN D BAISCH M.D.
Provider Business Mailing Address
First Line : 2530 CHICAGO AVE
Second Line : SUITE 400
City : MINNEAPOLIS
State : MN
Zip : 55404-4387
Country : US
Telephone Number : 612-813-3300
Fax Number : 612-813-3349
Provider Business Practice Location Address
First Line : 2530 CHICAGO AVE
Second Line : SUITE 400
City : MINNEAPOLIS
State : MN
Zip : 55404-4387
Country : US
Telephone Number : 612-813-3300
Fax Number : 612-813-3349
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2005
Last Update Date : 01/22/2016

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