Michael Thomas Bader, MD
Internal Medicine, Gastroenterology in Coon Rapids, MN. Individual provider (NPI-1).
NPI number1720006422
StatusActive
Last updated in NPPESMay 20, 2014
Details
- NPI
- 1720006422
- Entity type
- Individual (NPI-1)
- Name
- Michael Thomas Bader
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 18, 2006
- Last updated
- May 20, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RG0100X | Internal Medicine, Gastroenterology | 30340 | MN | Yes |
Practice location
9145 Springbrook Dr NwSuite 200
Coon Rapids, MN 55433-5885
Phone 612-871-1145 · Fax 612-870-5491
Mailing address
Po Box 14909Minneapolis, MN 55414
Phone 612-871-1145 · Fax 612-870-5491
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