Individual
JOSHUA RANDALL BAKKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6516 KINGSTON PIKE, KNOXVILLE, TN 37919-4825
(865) 450-9361
(865) 450-9362
Mailing address
6516 KINGSTON PIKE, KNOXVILLE, TN 37919-4825
(865) 450-9361
(865) 450-9362
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
61127
TN
207N00000X
Dermatology Physician
Primary
84690
WI
Other
Enumeration date
05/11/2016
Last updated
12/09/2024
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