Individual
DAVID A BACHELDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
105 OTTER DRIVE, OTTERTAIL, MN 56571
(218) 367-6111
(218) 367-6110
Mailing address
105 OTTER DRIVE, PO BOX 278, OTTERTAIL, MN 56571
(218) 367-6111
(218) 367-6110
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
8986
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
092G3BA
MNBCBS
—
01
—
24961
NDBCBS
—
Enumeration date
06/07/2006
Last updated
02/14/2008
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