Individual
DR. ANDREW M BAKKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
801 BROADWAY N, FARGO, ND 58102-3641
(701) 234-2000
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
104929
MN
2086S0129X
Vascular Surgery Physician
Primary
12336
ND
2086S0129X
Vascular Surgery Physician
53267
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/14/2006
Last updated
03/29/2024
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