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Individual

DR. MARK ALLAN MAHONEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
117 S BROADWAY ST, NEW ULM, MN 56073-3114
(507) 354-4529
(507) 354-7528
Mailing address
PO BOX 715, NEW ULM, MN 56073-0715
(507) 354-4529
(507) 354-7528

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4650
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
278G4MA
BCBS
MN
Enumeration date
04/03/2007
Last updated
07/08/2007
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