Individual
HILTON J BAKKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4810 WOLF CREEK RD NE, BEMIDJI, MN 56601-7990
(218) 586-2130
(218) 586-2165
Mailing address
5050 WOLF CREEK RD NE, BEMIDJI, MN 56601-7990
(218) 586-2513
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
33729
MN
2085R0202X
Diagnostic Radiology Physician
Primary
6047
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
355505400
—
MN
Enumeration date
06/08/2006
Last updated
03/16/2018
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