Individual
ROBERT P BACON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
523 N 3RD ST, BRAINERD, MN 56401-3054
(218) 828-7494
(218) 828-7611
Mailing address
523 N 3RD ST, BRAINERD, MN 56401-3054
(218) 828-7494
(218) 828-7611
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
30396
MN
Other
Enumeration date
03/09/2006
Last updated
07/08/2007
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