Individual
NILES J BATDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
210 9TH ST SE, ROCHESTER, MN 55904-6756
(507) 288-3443
Mailing address
4411 NORWOOD ST, DULUTH, MN 55804-1167
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
50762
MN
208600000X
Surgery Physician
Primary
50762
MN
Other
Enumeration date
07/02/2007
Last updated
11/01/2017
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