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Mark Pederson, LP
NPI 1801994843 · on the registry since 2006
Practice
- Address
- 102 Marty Dr
Buffalo, MN 55313 - Phone
- (763) 682-5420
- Fax
- (763) 682-5803
- Organisation at this address
- Brenner Dental Group
Buffalo Dental Center
Family Counseling Center IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 11
Registry record
- Primary taxonomy
- Psychologist
103T00000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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