| One Bread One Body Md Llc | |
|
513 Central Ave N Ste 1 Faribault MN 55021-4322 | |
| (507) 301-7602 | |
| (507) 301-7602 |
| Full Name | One Bread One Body Md Llc |
|---|---|
| Speciality | Dermatology |
| Location | 513 Central Ave N Ste 1, Faribault, Minnesota |
| Authorized Official Name and Position | Wendy Bongers (PRACTICE OWNER) |
| Authorized Official Contact | 5073017602 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| One Bread One Body Md Llc 513 Central Ave N Ste 1 Faribault MN 55021-4322 Ph: (507) 301-7602 | One Bread One Body Md Llc 513 Central Ave N Ste 1 Faribault MN 55021-4322 Ph: (507) 301-7602 |
| NPI Number | 1083404966 |
|---|---|
| Provider Enumeration Date | 05/12/2025 |
| Last Update Date | 05/12/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083404966 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207N00000X | Dermatology | (* (Not Available)) | Primary |
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