Engelsgjerd, Mark

Engelsgjerd, Mark is an individual health care provider with primary practice located at 251 County Rd 120 , Saint Cloud MN 56303-4665. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Engelsgjerd, Mark can be contacted via phone (320) 202-8949.

Contact Information

Primary practice address
251 County Rd 120 Saint Cloud MN 56303-4665
Phone: (320) 202-8949
Fax: (320) 202-0756
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 39768 Minnesota

Profile Details

NPI number 1063442622
LBN Legal business name Engelsgjerd, Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Nov 26th, 2010 - about 14 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 1063442622 NPPES
Minnesota MEDICAID 775318700

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