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Search › Minnesota › 363L00000X

Mark Thalacker, CNP

NPI 1063483493 · on the registry since 2006

Practice

Address
1875 Woodwinds Dr
Suite 130
Woodbury, MN 55125
Phone
(651) 232-0500
Organisation at this address
Group Health, Inc.
Fairview Health Services
Forefront Dermatology, S.C.
St. Croix Orthopaedics, P.A.
Healtheast Medical Research Insititue
Inferred from a shared address, not stated in the registry.
Clinicians at this address
46

Registry record

Primary taxonomy
363L00000X
363L00000X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-02-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota