Individual
DR. JOSEPH M BEBCHUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
480 OSBORNE RD NE, SUITE 260, FRIDLEY, MN 55432-2773
(763) 236-3800
Mailing address
2925 CHICAGO AVE, CREDENTIALING, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
42300
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
784490500
—
MN
Enumeration date
12/27/2005
Last updated
11/06/2020
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