Nammacher, Mark A

Nammacher, Mark A is an individual health care provider with primary practice located at 6600 Excelsior Blvd 131, St Louis Park MN 55426-4744. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Nammacher, Mark A can be contacted via phone (952) 401-8290.

Contact Information

Primary practice address
6600 Excelsior Blvd 131 St Louis Park MN 55426-4744
Phone: (952) 401-8290
Fax: (952) 401-8243
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 20132 Minnesota

Profile Details

NPI number 1104880905
LBN Legal business name Nammacher, Mark A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2006
Last updated Jul 9th, 2007 - about 19 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 1104880905 NPPES
Minnesota Other HP51758 HEALTH PARTNERS
Minnesota Other 145J4NA HEALTH PARTNERS

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