Individual
BEAU BACHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
210 9TH ST SE, ROCHESTER, MN 55904-6756
(507) 288-3443
Mailing address
703 N 8TH ST, SAINT PETER, MN 56082-1217
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
363A00000X
Physician Assistant
Primary
13328
MN
363A00000X
Physician Assistant
—
—
Other
Enumeration date
08/09/2019
Last updated
03/25/2020
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