Individual
BRIAN KEITH BAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 VETERANS DR, MINNEAPOLIS, MN 55417-2309
(719) 332-2562
Mailing address
1 VETERANS DR, MINNEAPOLIS, MN 55417-2309
(719) 332-2562
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
DR40361
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
27825256
—
CO
Enumeration date
08/22/2006
Last updated
09/16/2024
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