Individual
DR. JONATHAN JAMES BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10000 ZANE AVE N, BROOKLYN PARK, MN 55443-1400
(763) 572-5710
(763) 569-6200
Mailing address
6401 UNIVERSITY AVE NE, FRIDLEY, MN 55432-4341
(763) 572-5710
(763) 571-3008
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
41568
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0104111
MEDICA
MN
01
—
1020259
PREFERRED ONE
MN
01
—
123620
UCARE MN
MN
05
—
546316500
—
MN
01
—
6603833
MEDICA UC NUMBER
MN
01
—
68D53BA
BCBS OF MN
MN
01
—
7711010
AETNA
MN
01
—
850757
AMERICA'S PPO
MN
01
—
HP28999
HEALTHPARTNERS
MN
Enumeration date
04/05/2006
Last updated
05/03/2012
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