Individual provider · NPI-1

Ben R Bache-Wiig, M.D.

Internal Medicine · Robbinsdale, MN

NPI number1679501696
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1679501696
Entity type
Individual (NPI-1)
Name
Ben R Bache-Wiig
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Jun 29, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine28899MNYes

Practice location

3366 Oakdale Ave N
Suite 315
Robbinsdale, MN 55422-2948

Phone 763-520-7900 · Fax 763-520-7989

Mailing address

3366 Oakdale Ave N
Suite 315
Robbinsdale, MN 55422-2948

Phone 763-520-7900 · Fax 763-520-7989

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