Individual
DR. MICHAEL VELEMIR BAICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 BAICH DR, COLERAINE, MN 55722
(218) 245-1484
(218) 245-1522
Mailing address
PO BOX 198, 101 BAICH DR, COLERAINE, MN 55722-0198
(218) 245-1484
(218) 245-1522
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20782
MN
208600000X
Surgery Physician
20782
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1010219
PREFERRED ONE
—
01
—
1700807
MEDICA
—
05
—
249793000
—
MN
01
—
70140BA
PREFERRED ONE
—
Enumeration date
05/15/2007
Last updated
08/09/2011
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