Individual
DR. VANCE DAVID BACHELDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
920 E 1ST ST, SUITE L201, DULUTH, MN 55805-2201
(218) 249-7970
Mailing address
920 E 1ST ST, SUITE L201, DULUTH, MN 55805-2201
(218) 249-7970
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
40374
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
519188200
—
MN
Enumeration date
05/10/2006
Last updated
12/04/2020
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