Search › Minnesota › 103TC1900X
Mark Sundby, PH.D
NPI 1710278502 · on the registry since 2011 · sole proprietor
Practice
- Address
- 516 Mission House Ln
New Brighton, MN 55112 - Phone
- (651) 636-5120
- Fax
- (651) 636-5124
- Organisation at this address
- North Central Ministry Development Center, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 103TC1900X
103TC1900X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-04-27
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