Individual
DR. MARK MICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
913 E 26TH ST STE 600, MINNEAPOLIS, MN 55404-4515
(612) 775-6257
Mailing address
913 E 26TH ST STE 600, MINNEAPOLIS, MN 55404-4515
(612) 775-6257
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
1134745482
MN
Other
Enumeration date
06/23/2020
Last updated
09/08/2025
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