Individual
MR. JAMES M BAHRKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3850 PARK NICOLLET BLVD, ST LOUIS PARK, MN 55416-2527
(952) 883-1000
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9368
MN
363AM0700X
Medical Physician Assistant
9368
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
337102600
—
MN
Enumeration date
12/27/2005
Last updated
03/12/2021
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