Karl J Bakken OD

NPI 1033196365 - Optometrist - 152W00000X

NPI Details
NPI 1033196365
Gender Male
Enumeration Date 12/28/2005
Last Updated 10/07/2011
Entity Type Individual
Active Over 11 years ago
Practice Location
3900 PARK NICOLLET BLVD
ST LOUIS PARK MN, 55416-2503, US
Phone (952) 993-3150
Fax
Business Location
6465 WAYZATA BLVD
STE 315
ST LOUIS PARK MN, 55426-1728, US
Phone
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Minnesota
License Number 2792
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According to our database, Dr. Karl J Bakken OD NPI is 1033196365, taxonomy code is 152W00000X and license number is 2792, license state is located at Minnesota. Karl J Bakken OD physically located at 3900 Park Nicollet Blvd, St Louis Park MN, 55416-2503. NPI Number Karl J Bakken OD has the Individual type.

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1033196365 NPI number is provided on an as is basis without warranty of any kind. 1033196365 is maintained by the National Plan & Provider Enumeration System. The contents of Karl J Bakken OD are for informational purposes only.