Individual
MRS. COLLEEN ANN BAUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN CARE COORDINATOR
Contact information
Practice address
1000 CONEY ST W, PERHAM, MN 56573-2102
(218) 347-1236
(218) 347-1290
Mailing address
1000 CONEY ST W, PERHAM, MN 56573-2102
(218) 347-1236
(218) 347-1290
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
R1955367
MN
Other
Enumeration date
03/23/2018
Last updated
03/23/2018
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