Individual provider · Type 1 NPI

William Russell Bacon, MD

Diagnostic Radiology Physician · Eden Prairie, MN

NPI number 1609014489 Active

Practice location

11995 Singletree Ln Ste 500
Eden Prairie, MN 55344-5349

Call (952) 595-1301 Map

Fax (612) 294-4903

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician 2085R0202X47338 (TN)
Diagnostic Radiology Physician Primary 2085R0202XME151240 (FL)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1609014489

William Russell Bacon, MD's National Provider Identifier is 1609014489, issued on Feb 2, 2009. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Eden Prairie, MN. The record was last updated on Aug 1, 2022.