Search › Minnesota › 103TC0700X
Jan Witte-Bakken, PHD
NPI 1013001114 · on the registry since 2006
Practice
- Address
- 891 Belsly Blvd
Moorhead, MN 56560 - Phone
- (218) 287-4338
- Fax
- (218) 287-5928
- Clinicians at this address
- 106
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Also registered as
- 103TC0700X
- Licence states on file
- MN, ND
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-02-24
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