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Individual

DR. PATRICK MICHAEL BASILE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2525 CHICAGO AVE, MINNEAPOLIS, MN 55404-4518
(612) 813-7155
Mailing address
5901 LINCOLN DRIVE, CBC-2-REV/PE, EDINA, MN 55436-1611
(952) 992-5624
(952) 992-6917

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
60153
MN

Other

Enumeration date
10/22/2008
Last updated
12/05/2017
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