Engasser, Mark Charles

Engasser, Mark Charles is an individual health care provider with primary practice located at 6600 France Ave S Suite 615, Edina MN 55435-1807. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Engasser, Mark Charles can be contacted via phone (952) 920-4333.

Contact Information

Primary practice address
6600 France Ave S Suite 615 Edina MN 55435-1807
Phone: (952) 920-4333
Fax: (952) 920-6338
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 22841 Minnesota

Profile Details

NPI number 1417911884
LBN Legal business name Engasser, Mark Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2006
Last updated Feb 27th, 2014 - about 11 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 1417911884 NPPES
Minnesota MEDICAID 856500700

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