Individual
PETER ANDREW BACHE-WIIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1025 MARSH ST, MANKATO, MN 56001-4752
(507) 625-4031
Mailing address
1025 MARSH ST, MANKATO, MN 56001-4752
(507) 625-4031
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
69988
MN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
69988
MN
208M00000X
Hospitalist Physician
69988
MN
Other
Enumeration date
04/28/2018
Last updated
08/16/2024
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