Individual
DR. JOSHUA NISSI CHRISTIAN BAKKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
1129 HALE RD, MEMPHIS, TN 38116
(901) 396-0390
Mailing address
1129 HALE RD, MEMPHIS, TN 38116-6373
(901) 396-0390
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
56186
TN
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
56186
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/25/2014
Last updated
06/27/2018
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