Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Justin Bateman, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1104480391

Justin Bateman, MD is a Student in an Organized Health Care Education/Training Program in Minneapolis, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2019
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

420 Delaware St SE Mmc 609 Mayo D142
Minneapolis, MN 55455
Phone: (612) 624-8133
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence 65152 (MN)

Record details

NPI number1104480391
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 24, 2019
Last updated in NPPESJuly 26, 2019
Mailing address420 Delaware St Se, Mmc 609, Mayo D142, Minneapolis, MN 55455

Other providers in Minneapolis