Individual
KATHERINE BAILLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO, MPH
Contact information
Practice address
8455 FLYING CLOUD DR, EDEN PRAIRIE, MN 55344-3974
(952) 993-7400
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
64585
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2017
Last updated
03/12/2021
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