Provider Demographics
NPI:1164410031
Name:BALDINGER-DOUGLAS, SHARI RAE (MS, CGC)
Entity Type:Individual
Prefix:MS
First Name:SHARI
Middle Name:RAE
Last Name:BALDINGER-DOUGLAS
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:MS
Other - First Name:SHARI
Other - Middle Name:RAE
Other - Last Name:BALDINGER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS CGC
Mailing Address - Street 1:3915 W 42ND ST
Mailing Address - Street 2:
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55416-5001
Mailing Address - Country:US
Mailing Address - Phone:952-922-3549
Mailing Address - Fax:
Practice Address - Street 1:800 E 28TH ST
Practice Address - Street 2:ABBOTT-NORTHWESTERN HOSPITAL-39503
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55407-3723
Practice Address - Country:US
Practice Address - Phone:612-863-3536
Practice Address - Fax:612-863-5697
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS