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Individual
MICHAEL T BASS
Active
Individual
MICHAEL T BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
43101
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0701567
MEDICA #
MN
01
—
1172372
AMERICA'S PPO/ARAZ #
MN
05
—
12150
—
MN
01
—
141993
UCARE #
MN
01
—
20477
NDBS #
MN
05
—
5041522000
—
MN
01
—
73Q72BA
MNBS #
MN
01
—
DA9021026958
PREFERRED ONE #
MN
01
—
HP38654
HEALTHPARTNERS #
MN
01
—
ND200210
LHS #
MN
Enumeration date
07/03/2006
Last updated
04/06/2022
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