Individual
MARK RETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8990 SPRINGBROOK DR NW, SUITE 250, COON RAPIDS, MN 55433-5850
(763) 398-0124
Mailing address
1486 73 1/2 AVE NE, FRIDLEY, MN 55432-3676
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
090396
MN
Other
Enumeration date
05/02/2012
Last updated
01/11/2024
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