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Gregg Nelson Bakke, DC
Chiropractor in Deforest, Wisconsin
NPI 1689772485

Gregg Nelson Bakke is a Chiropractor based in Deforest, WI. Gregg Nelson Bakke practices in Deforest, WI and has the professional credentials of DC. The NPI Number for Gregg Nelson Bakke is 1689772485 and holds a License No. 1460012 (Wisconsin).

The current practice location address for Gregg Nelson Bakke is 312 East North Street, Deforest, WI and can be reached out via phone at 608-846-3333 and via fax at 608-846-7033.

Location: 312 East North Street, Deforest, WI, 53532
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689772485
Provider Name
Gregg Nelson Bakke
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
312 East North Street, Deforest, WI, 53532
Phone Number
608-846-3333
Fax Number
608-846-7033
Provider Enumeration Date
09/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
391253374030 01 WI BLUE CROSS BLUE SHIELD
38759100 05 WI
institution
Provider Business Practice Location Address Details
Address
312 East North Street
City
Deforest
State
Wisconsin
Zip
53532
Phone Number
608-846-3333
Fax Number
608-846-7033
person
Provider Business Mailing Address Details
Address
312 East North Street
City
Deforest
State
Wisconsin
Zip
53532
Phone Number
608-846-3333
Fax Number
608-846-7033
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
1460012 (Wisconsin)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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