Individual
DR. MARK WENDELL EAKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
295 10TH AVE, GRANITE FALLS, MN 56241-1456
(320) 564-2511
Mailing address
295 10TH AVE, GRANITE FALLS, MN 56241-1456
(320) 564-2511
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
56051
MN
Other
Enumeration date
07/13/2011
Last updated
08/15/2014
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