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Dr. William Michael Bauman, DDS
Student in an Organized Health Care Education/Training Program in Fridley, Minnesota
NPI 1528705803

William Michael Bauman is a Student in an Organized Health Care Education/Training Program based in Fridley, MN. William Michael Bauman practices in Fridley, MN and has the professional credentials of DDS. The NPI Number for William Michael Bauman is 1528705803 and holds a License No. (Minnesota).

The current practice location address for William Michael Bauman is 1099 E Moore Lake Dr, Fridley, MN and can be reached out via phone at 763-634-6998. You can also correspond with William Michael Bauman through the mailing address at 1099 E MOORE LAKE DR, FRIDLEY, MN - 55432 (mailing address contact number: 763-634-6998).

Location: 1099 E Moore Lake Dr, Fridley, MN, 55432
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528705803
Provider Name
William Michael Bauman
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1099 E Moore Lake Dr, Fridley, MN, 55432
Phone Number
763-634-6998
Fax Number
Provider Enumeration Date
05/17/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1099 E Moore Lake Dr
City
Fridley
State
Minnesota
Zip
55432
Phone Number
763-634-6998
Fax Number
person
Provider Business Mailing Address Details
Address
1099 E Moore Lake Dr
City
Fridley
State
Minnesota
Zip
55432
Phone Number
763-634-6998
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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