Individual
DR. KYLE BAKKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
507 S MAIN ST, VIROQUA, WI 54665-2059
(086) 374-2026
Mailing address
507 S MAIN ST, VIROQUA, WI 54665-2059
(086) 374-2026
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
71914
MN
207Q00000X
Family Medicine Physician
Primary
84588-20
WI
Other
Enumeration date
06/30/2020
Last updated
11/20/2024
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