Individual
MARK T REDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
420 DELAWARE ST SE, MMC 480, MINNEAPOLIS, MN 55455-0341
(612) 625-1104
Mailing address
420 DELAWARE ST SE, MMC 480, MINNEAPOLIS, MN 55455-0341
(612) 625-1104
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
37501
MN
207RH0003X
Hematology & Oncology Physician
Primary
37501
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1020249
PREFERRED ONE
MN
01
—
127256
UCARE
MN
05
—
182278100
—
MN
01
—
36-00013
MEDICA PRIMARY
MN
01
—
36-00070
MEDICA CHOICE
MN
01
—
43R98RE
BLUE CROSS BLUE SHIELD
MN
01
—
848430
ARAZ
MN
01
—
HP29191
HEALTH PARTNERS
MN
Enumeration date
10/24/2006
Last updated
01/04/2013
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