Individual
RICHARD J BACKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 6TH AVE N, SAINT CLOUD, MN 56303-2735
(320) 252-5131
(320) 255-5714
Mailing address
1200 6TH AVE N, SAINT CLOUD, MN 56303-2735
(320) 252-5131
(320) 240-2118
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
30055
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060067019
RR MEDICARE
—
01
—
1029878
PREFERRED ONE
—
01
—
1065675
FIRST HEALTH PLAN
—
01
—
121558
U CARE
—
01
—
20820
ARAZ GROUP AMERICAS PPO
—
01
—
2529866
MEDICA HEALTH PLANS
—
01
—
383363100
MEDICAL ASSISTANCE
—
05
—
383363100
—
MN
01
—
54G89BA
BLUE CROSS BLUE SHIELD
—
01
—
HP34882
HEALTH PARTNERS
—
Enumeration date
08/11/2005
Last updated
08/21/2024
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