NINA R BACANER

LIFE MEDICAL PA

Dr NINA R BACANER is a female medical professional, specializing in Internal Medicine. She graduated in 1981 from Boston University School Of Medicine.

Contact

LIFE MEDICAL PA

4201 EXCELSIOR BLVD
SAINT LOUIS PARK
MN
554164728

Tel: 9529338900

NINA R BACANER Information

Npi 1578576021
Pac Id 8628153889
Professional Enrollment Id I20080312000100
Last Name BACANER
First Name NINA
Middle Name R
Suffix
Gender F
Credential
Medical School Name BOSTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 1981
Primary Specialty INTERNAL MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name LIFE MEDICAL PA
Group Practice Pac Id 6204938350
Number Of Group Practice Members 10
Line 1 Street Address 4201 EXCELSIOR BLVD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City SAINT LOUIS PARK
State MN
Zip Code 554164728
Phone Number 9529338900
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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