Individual
DR. KRISTA S BAUER-ABRAHAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
12233 CHAMPLIN DR, CHAMPLIN, MN 55316-1930
(767) 323-0678
(763) 323-9102
Mailing address
12233 CHAMPLIN DR, CHAMPLIN, MN 55316-1930
(767) 323-0678
(763) 323-9102
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D11195
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
829024500
MINNESOTA HEALTH CARE-MA
MN
Enumeration date
04/20/2007
Last updated
04/28/2016
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