Individual
DR. DEANNA BASS
Active
Individual
DR. DEANNA BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
33479
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0055641
—
MT
05
—
055803600
—
MN
01
—
1001013
PREFERRED ONE
MN
01
—
106109
UCARE
MN
01
—
15-60430
MEDICA CHOICE
MN
01
—
15-83243
MEDICA
MN
05
—
25-70708
—
MN
05
—
2538157
—
IA
05
—
31785900
—
WI
01
—
36Q97BA
BCBS PHALEN
MN
01
—
36Q99BA
BCBS BETHESDA
MN
01
—
768010
ARAZ
MN
01
—
HP15843
HEALTHPARTNERS
MN
Enumeration date
06/16/2006
Last updated
05/31/2012
Update your record
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