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Individual
JOHAN CHRISTIAN BAKKEN
Active
Individual
JOHAN CHRISTIAN BAKKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
L-224667
MA
207RG0100X
Gastroenterology Physician
103668
MN
207RG0100X
Gastroenterology Physician
Primary
51047
MN
Other
Enumeration date
02/26/2007
Last updated
08/08/2012
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