Individual
DEREK BAKKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 E 57TH ST, SIOUX FALLS, SD 57108-2970
(605) 521-5425
Mailing address
300 E 57TH ST, SIOUX FALLS, SD 57108-2970
(605) 521-5425
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
MN
Other
Enumeration date
10/25/2016
Last updated
10/25/2016
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