Individual
ADAM JESS BAKKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4010 W 65TH ST, EDINA, MN 55435-1706
(952) 456-7000
(952) 456-7001
Mailing address
4200 DAHLBERG DR, SUITE 300, GOLDEN VALLEY, MN 55422-4840
(952) 512-5600
(952) 512-5651
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
55547
MN
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
55547
MN
208600000X
Surgery Physician
ML20008871
WA
Other
Enumeration date
07/25/2007
Last updated
12/02/2020
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