Individual
DR. MARK V WEDUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1570 CONCORDIA AVE STE 202, LEXINGTON EYE ASSOCIATES PA, SAINT PAUL, MN 55104-5345
(651) 646-7419
(651) 646-7419
Mailing address
1570 CONCORDIA AVE STE 202, LEXINGTON EYE ASSOCIATES PA, SAINT PAUL, MN 55104-5345
(651) 646-7419
(651) 637-2778
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
29010
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
664275600
—
MN
Enumeration date
05/22/2006
Last updated
04/07/2015
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