Individual
CAROLINE T BAERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1230 E MAIN ST, MANKATO CLINIC AT MAIN STREET, MANKATO, MN 56001-5066
(507) 625-1811
Mailing address
1230 E MAIN ST, PO BOX 8674, MANKATO, MN 56001-5066
(507) 625-1811
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
37939
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101410
MEDICA
MN
01
—
080073102
RR MEDICARE
—
05
—
0964965
—
IA
01
—
111432
UCARE
MN
01
—
41084933956001C092
CHAMPUS
—
01
—
658409
AMERICAS PPO
MN
05
—
678819000
—
MN
01
—
6K885BA
BCBS
MN
01
—
HP24187
HEALTH PARTNERS
MN
01
—
NA2951023812
PREFERRED ONE
MN
Enumeration date
01/10/2006
Last updated
07/09/2020
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