Individual
JOHAN CHRISTIAN BAKKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 E 3RD ST, ESSENTIA HEALTH DULUTH CLINIC, DULUTH, MN 55805-1951
(218) 786-3520
Mailing address
400 E 3RD ST, ESSENTIA HEALTH DULUTH CLINIC, DULUTH, MN 55805-1951
(218) 786-3985
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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