Individual
JUSTIN BATEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
420 DELAWARE ST SE, MMC 609, MAYO D142, MINNEAPOLIS, MN 55455
(612) 624-8133
Mailing address
420 DELAWARE ST SE, MMC 609, MAYO D142, MINNEAPOLIS, MN 55455
(612) 624-8133
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
65152
MN
Other
Enumeration date
04/24/2019
Last updated
07/26/2019
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