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Mark Koller
NPI 1407031032 · on the registry since 2008 · sole proprietor
Practice
- Address
- 3400 W 66th St Ste 375
Edina, MN 55435 - Phone
- (952) 926-7374
- Organisation at this address
- Afzal Clinics Pa
Pdr Southdale, Inc
Fairview Express Care
Fairview Health Services
Sleep Well Twin Cities LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 140
Registry record
- Primary taxonomy
- Psychiatry Physician
2084P0800X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-01-02
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