Koller, Mark
Koller, Mark is an sole proprietor health care provider with primary practice located at 3400 W 66Th St Ste 375 , Edina MN 55435-2168. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Koller, Mark can be contacted via phone (952) 926-7374.Contact Information
Primary practice address
3400 W 66Th St Ste 375
Edina MN 55435-2168
Phone: (952) 926-7374
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 31306 | Minnesota |
Profile Details
| NPI number | 1407031032 |
|---|---|
| LBN Legal business name | Koller, Mark |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 2nd, 2008 |
| Last updated | Jan 2nd, 2008 - about 17 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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