Individual
DR. MARK RODLUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
722 15TH ST NW, BEMIDJI, MN 56601-2528
(218) 751-3280
Mailing address
722 15TH ST NW, BEMIDJI, MN 56619-2528
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071-0004814
IL
Other
Enumeration date
09/28/2006
Last updated
07/08/2007
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