Yan Gennad'Yevich Bakman, MD
Internal Medicine, Gastroenterology in Coon Rapids, MN. Individual provider (NPI-1).
NPI number1164510889
StatusActive
Last updated in NPPESAug 14, 2019
Details
- NPI
- 1164510889
- Entity type
- Individual (NPI-1)
- Name
- Yan Gennad'Yevich Bakman
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 10, 2006
- Last updated
- Aug 14, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RG0100X | Internal Medicine, Gastroenterology | 48830 | MN | Yes |
| 207R00000X | Internal Medicine | 48830 | MN |
Practice location
9145 Springbrook Dr Nw Ste 200Coon Rapids, MN 55433-5886
Phone 612-871-1145 · Fax 612-870-5491
Mailing address
Po Box 14909Minneapolis, MN 55414-0909
Phone 612-871-1145 · Fax 612-870-5491
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