Siewert, Mark W

Siewert, Mark W is an individual health care provider with primary practice located at 825 Nicollet Mall Suite 1935, Minneapolis MN 55402-2606. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Siewert, Mark W can be contacted via phone (612) 339-2041.

Contact Information

Primary practice address
825 Nicollet Mall Suite 1935 Minneapolis MN 55402-2606
Phone: (612) 339-2041
Fax: (612) 339-2042
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2815 Minnesota

Profile Details

NPI number 1114982733
LBN Legal business name Siewert, Mark W
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2006
Last updated Jul 9th, 2007 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1114982733 NPPES
Minnesota Other 40B33SI BC INDIV PROV ID
Minnesota Other 6400642 BC INDIV PROV ID

Popular Providers