Individual
MARCOS RAFAEL HENRIQUEZ CORPORAN
Active
Individual
MARCOS RAFAEL HENRIQUEZ CORPORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
36612
MN
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
83355
MN
208100000X
Physical Medicine & Rehabilitation Physician
Primary
125080112
IL
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
36612
MN
Other
Enumeration date
07/10/2022
Last updated
07/30/2026
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