Individual
NINA BACANER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2001 BLOOMINGTON AVE, MINNEAPOLIS, MN 55404-3074
(612) 638-0700
Mailing address
2001 BLOOMINGTON AVE, MINNEAPOLIS, MN 55404-3074
(612) 638-0700
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
28340
MN
Other
Enumeration date
08/15/2006
Last updated
09/24/2012
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