Individual
DR. BRENT A BALDWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2355 HWY 36 W, STE. 100, ROSEVILLE, MN 55113
(651) 292-2000
Mailing address
2355 HWY 36 W, STE. 100, ROSEVILLE, MN 55113
(651) 292-2000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
13430-320
WI
2085R0202X
Diagnostic Radiology Physician
22332
ND
2085R0202X
Diagnostic Radiology Physician
Primary
34527
TN
2085R0202X
Diagnostic Radiology Physician
79434
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00077253
MEDICARE RAILROAD
GA
Enumeration date
06/08/2006
Last updated
08/29/2025
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