Individual
MARK KORTHALS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
13195 WEAVER LAKE RD, MAPLE GROVE, MN 55369-9410
(763) 420-5112
(763) 420-6957
Mailing address
13195 WEAVER LAKE RD, MAPLE GROVE, MN 55369-9410
(763) 420-5112
(763) 420-6957
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2972
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
151668000
—
MN
Enumeration date
12/20/2006
Last updated
09/04/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us