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Individual
DR. MARK DAVID DEHEN
Active
Individual
DR. MARK DAVID DEHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2374
MN
111N00000X
Chiropractor
4347
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
230189
CHIRO CARE
MN
01
—
2D596DE
BCBS INDIVIDUAL
MN
01
—
359000346
MEDICARE TRANSACTION ACCESS NUMBER
MN
01
—
958718700
MN CARE
MN
Enumeration date
06/14/2005
Last updated
05/31/2011
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