Organization
PARTNERS IN PEDIATRICS, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOWARD L. BACH M.D. (PHYSICIAN)
(763) 559-2861
Entity
Organization
Contact information
Practice address
12730 BASS LAKE RD, MAPLE GROVE, MN 55369-6307
(763) 559-2861
(763) 559-1338
Mailing address
12730 BASS LAKE RD, MAPLE GROVE, MN 55369-6307
(763) 559-2861
(763) 559-1338
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
24942
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
862803300
—
MN
Enumeration date
05/11/2006
Last updated
09/21/2011
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