Individual
ALEXANDER BAKKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
430 WILCOX ST, FORT ATKINSON, WI 53538-1968
(920) 563-5533
Mailing address
1 MERRILL CREST DR, MADISON, WI 53705-2703
(920) 222-1974
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
10/10/2023
Last updated
10/10/2023
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