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Search › Minnesota › 103T00000X

Bruce Bakke, PH.D

NPI 1184767675 · on the registry since 2007 · sole proprietor

Practice

Address
3300 County Road 10
Suite 500
Brooklyn Center, MN 55429
Phone
(763) 560-8331
Fax
(763) 560-8431
Organisation at this address
Deende Llc
Omocare Llc
Divine Legacy
Advocare, Llc
Cedar House Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
24

Registry record

Primary taxonomy
103T00000X
103T00000X
Also registered as
103TA0700X
103TB0200X
103TM1800X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2010-06-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota