Individual
MARK LABELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
11709309-1205
UT
207X00000X
Orthopaedic Surgery Physician
70082
MN
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
11709309-1205
UT
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
70082
MN
Other
Enumeration date
02/02/2015
Last updated
12/15/2021
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