# RONALD M BATEMAN DO

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437332392
- **Authorized official:** SUSAN LOURIS (BILLING SERVICE)
- **Authorized official phone:** (507) 387-5134

## Contact information

- **Practice address:** 3915 GOLDEN VALLEY RD, GOLDEN VALLEY, MN 55422-4249
- **Practice address phone:** (952) 520-0454
- **Practice address fax:** (507) 387-6155
- **Mailing address:** 3915 GOLDEN VALLEY RD, GOLDEN VALLEY, MN 55422-4249
- **Mailing address phone:** (952) 520-0454
- **Mailing address fax:** (507) 387-6155

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225400000X | Rehabilitation Practitioner | 22770 | MN | Yes |

## Other

- **Enumeration date:** 12/13/2007
- **Last updated:** 12/13/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 01008BA | BCBS OF MN | MN |