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Individual

DR. CECIL EMERSON BASSETT

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6401 UNIVERSITY AVE NE, FRIDLEY, MN 55432-4341
(763) 572-5710
(763) 586-5963
Mailing address
6401 UNIVERSITY AVE NE, FRIDLEY, MN 55432-4341
(763) 572-5710
(763) 571-3008

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35338
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0712893
MEDICA
MN
01
07F94BA
BCBS OF MN
MN
01
1008220
PREFERRED ONE
MN
01
110658
UCARE
MN
01
296364
AMERICA'S PPO
MN
01
4242545
AETNA
MN
01
HP15846
HEALTHPARTNERS
MN
Enumeration date
03/31/2006
Last updated
07/08/2007
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