Brancel, Mark L

Brancel, Mark L is an individual health care provider with primary practice located at 15290 Pennock Ln , Apple Valley MN 55124-7163. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Brancel, Mark L can be contacted via phone (952) 853-8800.

Contact Information

Primary practice address
15290 Pennock Ln Apple Valley MN 55124-7163
Phone: (952) 853-8800
Fax: (952) 431-6966
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 66991-20 Wisconsin
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 31706 Minnesota

Profile Details

NPI number 1417924481
LBN Legal business name Brancel, Mark L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated Jul 29th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417924481 NPPES
Minnesota MEDICAID 007302200

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