Individual
ANNA BAKEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
217 RADIO DR, WOODBURY, MN 55125-5805
(651) 702-0750
(651) 645-6166
Mailing address
215 RADIO DR STE 202, WOODBURY, MN 55125-5822
(651) 702-0750
(651) 645-6166
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
74763
WI
207YP0228X
Pediatric Otolaryngology Physician
74763
WI
207YS0123X
Facial Plastic Surgery Physician
Primary
73996
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538521869
—
WI
Enumeration date
03/25/2016
Last updated
11/20/2025
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