Individual
DR. MARK T. EGINTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
801 BROADWAY N, FARGO, ND 58102-3641
(701) 234-2000
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
45530
MN
2086S0129X
Vascular Surgery Physician
Primary
45530
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
579108100
—
MN
Enumeration date
05/12/2006
Last updated
06/08/2023
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