Individual
CAMMY L BAHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS-CCC-A
Contact information
Practice address
1720 HIGHWAY 59 S, THIEF RIVER FALLS, MN 56701-4331
(218) 671-4747
(218) 683-2595
Mailing address
1720 HIGHWAY 59 S, THIEF RIVER FALLS, MN 56701-4331
(218) 671-4747
(218) 683-2595
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
7095
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
023H1BA
MNBS #
MN
01
—
2130679
AMERICA'S PPO/ARAZ #
MN
01
—
24577
NDBS #
MN
01
—
26391
NDBS #
MN
01
—
34901
LHS/BANNERHEALTH #
MN
01
—
4500415
MEDICA #
FM
01
—
4500539
MEDICA #
MN
05
—
54831
—
MN
01
—
829S3BA
MNBS #
MN
01
—
HP42009
HEALTHPARTNERS #
MN
Enumeration date
06/05/2006
Last updated
12/31/2007
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