Individual
MR. MARK A BAKKUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BOARD CERTIFIED IOWA
Contact information
Practice address
3717 CENTER POINT ROAD NE, SUITE 200, CEDAR RAPIDS, IA 52402-2944
(319) 393-8994
(319) 393-0895
Mailing address
3717 CENTER POINT ROAD NE, SUITE 200, CEDAR RAPIDS, IA 52402-2944
(319) 393-8994
(319) 393-0895
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
00541
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0448886
—
IA
Enumeration date
12/28/2006
Last updated
07/08/2007
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