Individual
ASHLEY BERIT BAKKEN-MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
(612) 873-6963
Mailing address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
(612) 873-3000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
74876
MN
208000000X
Pediatrics Physician
A129131
CA
Other
Enumeration date
07/10/2013
Last updated
12/14/2023
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