Individual
MICHAEL BAISDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
515 DELAWARE ST SE, MINNEAPOLIS, MN 55455-0357
(612) 624-9900
Mailing address
3485 RICHMOND PKWY, WOODBURY, MN 55129-4915
(612) 624-9900
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
D11391
MN
Other
Enumeration date
03/06/2012
Last updated
03/06/2012
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