Michael, Mark

Michael, Mark is an individual health care provider with primary practice located at 10467 93Rd Ave N , Maple Grove MN 55369-4112. He recently has only one registered license in Nursing Service Providers / Home Health, which is considered as his primary health care specialty. Michael, Mark can be contacted via phone (651) 488-4655.

Contact Information

Primary practice address
10467 93Rd Ave N Maple Grove MN 55369-4112
Phone: (651) 488-4655
Fax: (651) 488-4656
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Home Health 163WH0200X 1142394 Minnesota

Profile Details

NPI number 1225660400
LBN Legal business name Michael, Mark
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2020
Last updated Feb 6th, 2020 - 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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