Individual
JESSE BACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
500 HARVARD ST SE, MINNEAPOLIS, MN 55455-0363
(612) 273-8383
Mailing address
5732 MORGAN AVE S, MINNEAPOLIS, MN 55419-1547
(651) 226-5650
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
7506
MN
Other
Enumeration date
04/12/2020
Last updated
06/29/2020
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