Lindquist, Mark David

Lindquist, Mark David is an individual health care provider with primary practice located at 1245 Washington Ave , Detroit Lakes MN 56501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Lindquist, Mark David can be contacted via phone (218) 846-2000.

Contact Information

Primary practice address
1245 Washington Ave Detroit Lakes MN 56501
Phone: (218) 846-2000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 29606 Minnesota

Profile Details

NPI number 1871582643
LBN Legal business name Lindquist, Mark David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2005
Last updated Dec 6th, 2011 - 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 1871582643 NPPES
Minnesota Other 3T128LI BCBS
Minnesota MEDICAID 086868000 BCBS
Minnesota Other HP51371 BCBS

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