Search › Minnesota › 183500000X
Mark Tool
NPI 1790062693 · on the registry since 2011 · sole proprietor
Practice
- Address
- 14405 47th Ave N
Plymouth, MN 55446 - Phone
- (763) 553-9219
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-11-07
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