Individual
PHILLIP JOHN BAKKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
612 EAST MAIN STREET, BAKKE CHIROPRACTIC CLINIC SC, WAUNAKEE, WI 53597
(608) 849-9014
(608) 849-9015
Mailing address
612 EAST MAIN STREET, BAKKE CHIROPRACTIC CLINIC SC, WAUNAKEE, WI 53597
(608) 849-9014
(608) 849-9015
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2083012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38793700
—
WI
Enumeration date
10/16/2006
Last updated
07/08/2007
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