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General NPI Number Information
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NPI Number | 1821081068
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Entity Type | Organization
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Legal Business Name | DR VM BAICH PA
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Dates
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Enumeration Date | 08/23/2005
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 101 BAICH DR
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City | COLERAINE
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State | MN
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Zip | 55722
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Country | US
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Telephone | 218-245-1484
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Fax | 218-245-1522
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Provider Business Mailing Address
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Address Line | PO BOX 198 101 BAICH DR
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City | COLERAINE
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State | MN
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Zip | 55722-0198
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Country | US
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Telephone | 218-245-1484
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Fax | 218-245-1522
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MICHAEL VELEMIR BAICH
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Credential | DR
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Telephone | 218-245-1484
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 20782
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 20782
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License Number State | MN
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