Individual
MARK CHARLES ENGASSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6600 FRANCE AVE S, SUITE 615, EDINA, MN 55435-1807
(952) 920-4333
(952) 920-6338
Mailing address
6600 FRANCE AVE S, SUITE 615, EDINA, MN 55435-1807
(952) 920-4333
(952) 920-2561
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
22841
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
856500700
—
MN
Enumeration date
04/13/2006
Last updated
02/27/2014
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