Organization
RONALD M BATEMAN DO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN LOURIS (BILLING SERVICE)
(507) 387-5134
Entity
Organization
Contact information
Practice address
3915 GOLDEN VALLEY RD, GOLDEN VALLEY, MN 55422-4249
(952) 520-0454
(507) 387-6155
Mailing address
3915 GOLDEN VALLEY RD, GOLDEN VALLEY, MN 55422-4249
(952) 520-0454
(507) 387-6155
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
MN
Enumeration date
12/13/2007
Last updated
12/13/2007
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