Individual
J MICHAEL BACHARACH
Active
Individual
J MICHAEL BACHARACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
3990
SD
2086S0129X
Vascular Surgery Physician
3990
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004040
SD BCBS
SD
01
—
03A41BA
MN BCBS - PLAN 91057NO
MN
05
—
0970046
—
IA
01
—
165023
UCARE
—
01
—
35693
HEALTH PARTNERS
—
01
—
3990
DAKOTACARE
SD
01
—
497L1BA
BCBS MN UNDER 538R2NO
MN
01
—
56195
IA BCBS #
IA
05
—
575892100
—
MN
05
—
6002910
—
SD
01
—
931451029029
PREFERRED ONE
—
Enumeration date
04/10/2006
Last updated
04/27/2020
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