Individual
PETR BACHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
401 PHALEN BLVD - MS 41102D, HEALTHPARTNERS SPECIALTY CENTER 401, ST. PAUL, MN 55130-5302
(651) 254-7670
(651) 254-7676
Mailing address
8170 33RD AVE S, MS21110Q, MINNEAPOLIS, MN 55425-4516
(952) 883-5375
(651) 254-7676
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
46516
MN
Other
Enumeration date
04/14/2006
Last updated
12/07/2011
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