Most Relevant Information
Provider Data
| NPI Number: | 1003323965 |
| Provider Name: | IAN BAKEWELL |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 122797 |
Most Important Dates
| Enumeration Date: | 01/01/2018 |
| Last Updated: | 01/01/2018 |
Provider Practice Location
1620 S CEDAR AVE
OWATONNA
MN
550603922
Practice Location Phone/Fax
| Phone: | 5074510179 |
| Fax: |
Provider Mailing Location
2425 CORNELL DR
FARIBAULT
MN
550213431
Provider Mailing Phone/Fax
| Phone: | 5633809173 |
| Fax: |