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Contact Information

RYAN J BAKKO, MS, PA-C
560 S MAPLE ST
SUITE 200
WACONIA, MN55387-1733
 Phone: 952-442-2163
 Fax: 952-442-5903
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for RYAN J BAKKO · (Male)

NPI # 1417276304
Status Active
Credentials MS, PA-C
Entity Individual
Enumeration date 05/18/2010
Last updated 02/09/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 10732
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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