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Individual

DR. RONALD M BATEMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
3915 GOLDEN VALLEY RD, GOLDEN VALLEY, MN 55422-4249
(763) 520-0454
(763) 520-0727
Mailing address
3915 GOLDEN VALLEY RD, GOLDEN VALLEY, MN 55422-4249
(763) 520-0454
(763) 520-0727

Taxonomy

Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
22770
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01008BA
BCBS OF MN GR#
MN
01
101451
UCARE PROV#
MN
01
2303831
MEDICA
MN
01
971840581001
PREFERRED ONE PROV#
MN
Enumeration date
06/06/2006
Last updated
12/03/2007
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