Individual
NICOLAI BERT BAECHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
150 BURNETTS WAY STE 100, SUFFOLK, VA 23434
(757) 547-5145
Mailing address
501 DISCOVERY DR, CHESAPEAKE, VA 23320-3843
(757) 547-5145
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
0116021562
VA
207X00000X
Orthopaedic Surgery Physician
MD457100
PA
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
0101256932
VA
Other
Enumeration date
05/12/2009
Last updated
02/24/2021
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