Individual
DR. MARK P BIRKENBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
420 DELAWARE ST SE, MMC 609, MINNEAPOLIS, MN 55455-0341
(612) 884-0301
Mailing address
720 WASHINGTON AVE SE, SUITE 300, MINNEAPOLIS, MN 55414-2924
(763) 782-6400
(763) 782-6400
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
0101224785
VA
207ZP0101X
Anatomic Pathology Physician
Primary
261QM1300X
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004910681
—
VA
01
—
008
CHAMPUS/TRICARE
VA
01
—
063MT
BC/BS NC
VA
01
—
283447
UHC/MAMSI/MDIPA
VA
01
—
28803
SENTARA OHP/SHP
VA
01
—
452114
BC/BS VA/HK
VA
01
—
57175
MINNESOTA MEDICAL LICENSE NUMBER
MN
05
—
89063MT
—
VA
01
—
PAR
FIRST HEALTH
VA
Enumeration date
02/03/2006
Last updated
12/19/2013
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