Individual
CALEB BAKKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 TRITON CIR, FORT DODGE, IA 50501-5798
(515) 574-1394
Mailing address
1 TRITON CIR, FORT DODGE, IA 50501-5798
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
001224
IA
Other
Enumeration date
06/10/2020
Last updated
06/10/2020
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