Organization
BAKKE MEDICAL PC
Active
Organization
BAKKE MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAISY S ANGELES MD (PRESIDENT)
(313) 563-1033
Entity
Organization
Contact information
Practice address
1039 WASHINGTON ST, DEARBORN, MI 48124-2016
(313) 563-1033
(313) 563-2930
Mailing address
21723 GARRISON ST, DEARBORN, MI 48124-2368
(313) 274-4215
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
4301037608
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1361633
—
MI
Enumeration date
02/16/2007
Last updated
02/14/2019
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