Individual
EFTHIMIOS ALEXANDER BAKALAKOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
112 SAINT OLAF AVE S, CANBY, MN 56220-1433
(507) 223-7277
(507) 223-7465
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-9419
(507) 223-7465
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
41801
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
258716500
—
MN
Enumeration date
08/13/2006
Last updated
08/15/2023
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