Moberg, Mark Thomas
Moberg, Mark Thomas is an individual health care provider with primary practice located at 109 Doctors Park , Saint Cloud MN 56303. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Moberg, Mark Thomas can be contacted via phone (320) 253-3637.Contact Information
Primary practice address
109 Doctors Park
Saint Cloud MN 56303
Phone: (320) 253-3637
Fax: (320) 253-5412
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 20295 | Minnesota |
Profile Details
| NPI number | 1609814920 |
|---|---|
| LBN Legal business name | Moberg, Mark Thomas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 2nd, 2006 |
| Last updated | Aug 31st, 2012 - about 12 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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