Individual
BAYLEE MAE BEULKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18300 95TH PL N, MAPLE GROVE, MN 55311-1294
(763) 274-9092
Mailing address
18300 95TH PL N, MAPLE GROVE, MN 55311-1294
(763) 274-9092
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
308457
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
308457
NATA NUMBER
—
Enumeration date
12/12/2022
Last updated
12/12/2022
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