Spaude, Mark Patrick

Spaude, Mark Patrick is an individual health care provider with primary practice located at 822 Main Street Suite A , Elk River MN 55330. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Spaude, Mark Patrick can be contacted via phone (763) 441-2170.

Contact Information

Primary practice address
822 Main Street Suite A Elk River MN 55330
Fax: (763) 441-9045
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X D12953 Minnesota

Profile Details

NPI number 1679868335
LBN Legal business name Spaude, Mark Patrick
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2011
Last updated Mar 17th, 2018 - about 7 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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