Individual
GARY M BAKKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2251 CONNECTICUT AVENUE S, SARTELL, MN 56377-2486
(320) 253-5220
(320) 203-2113
Mailing address
8170 33RD AVE S, MS21110Q, MINNEAPOLIS, MN 55425-4516
(952) 883-5375
(320) 203-2113
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
026192
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
059285400
—
MN
Enumeration date
06/18/2006
Last updated
05/04/2017
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