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Individual

DR. MATTHEW HANS BAKKE SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
800 FLORIDA AVE NE, SLCC 3114, WASHINGTON, DC 20002-3600
(202) 651-5335
(202) 448-7144
Mailing address
7905 BELGARO RD, LAUREL, MD 20723-1108
(301) 725-5324

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
001136
NY

Other

Enumeration date
09/01/2009
Last updated
09/01/2009
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