Brian Baschnagel

NPI 1003807454 - Psychologist - 103T00000X

NPI Details
NPI 1003807454
Gender Male
Enumeration Date 11/03/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
8669 EAGLE POINT BLVD
LAKE ELMO MN, 55042-8628, US
Phone (651) 379-0444
Fax (651) 379-0448
Business Location
8669 EAGLE POINT BLVD
LAKE ELMO MN, 55042-8628, US
Phone (651) 379-0444
Fax (651) 379-0448
Toxanomy
Taxonomy Code 103T00000X
License State Minnesota
License Number LP2448
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According to our database, Brian Baschnagel NPI is 1003807454, taxonomy code is 103T00000X and license number is LP2448, license state is located at Minnesota. Brian Baschnagel physically located at 8669 Eagle Point Blvd, Lake Elmo MN, 55042-8628. NPI Number Brian Baschnagel has the Individual type.

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1003807454 NPI number is provided on an as is basis without warranty of any kind. 1003807454 is maintained by the National Plan & Provider Enumeration System. The contents of Brian Baschnagel are for informational purposes only.