Individual
DIRK A BAKKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1445 SHELDON RD, SUITE G1, GRAND HAVEN, MI 49417-2480
(616) 296-9100
(616) 296-0145
Mailing address
1445 SHELDON RD, SUITE G1, GRAND HAVEN, MI 49417-2480
(616) 296-9100
(616) 296-0145
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
4301067471
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4324025
—
MI
Enumeration date
07/12/2005
Last updated
03/29/2016
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