Individual
DAVID BRUCE BAKKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
312 EAST NORTH STREET, BAKKE CHIROPRACTIC CLINIC SC, DEFOREST, WI 53532
(608) 846-3333
(608) 846-7033
Mailing address
312 EAST NORTH STREET, BAKKE CHIROPRACTIC CLINIC SC, DEFOREST, WI 53532
(608) 846-3333
(608) 846-7033
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1604012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38765400
—
WI
01
—
39125337055
BLUE CROSS BLUE SHIELD
WI
Enumeration date
09/20/2006
Last updated
07/08/2007
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