Jeffrey L Bakke, M.D.
Family Medicine in Osseo, MN. Individual provider (NPI-1).
NPI number1477581320
StatusActive
Last updated in NPPESNov 7, 2022
Details
- NPI
- 1477581320
- Entity type
- Individual (NPI-1)
- Name
- Jeffrey L Bakke
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 29, 2006
- Certification date
- Nov 7, 2022
- Last updated
- Nov 7, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 45512 | MN | Yes |
Practice location
50 Central AveOsseo, MN 55369-1241
Phone 763-587-7900 · Fax 763-420-1901
Mailing address
9201 W Broadway Ave Ste 601Brooklyn Park, MN 55445-1924
Phone 763-587-7900 · Fax 763-587-7066
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