Individual
DR. MARK ALAN PEDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
603 N MAIN STREET, WARREN, MN 56762
(218) 745-6655
(218) 745-4049
Mailing address
603 N MAIN STREET, WARREN, MN 56762
(218) 745-6655
(218) 745-4049
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3351
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15F41PE
BCBS
MN
01
—
20215
BCBS
ND
Enumeration date
08/27/2006
Last updated
07/08/2007
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