Individual
DR. MARK KENJI NOMURA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6401 FRANCE AVE S, EDINA, MN 55435-2104
(952) 924-5187
(952) 924-5137
Mailing address
11343 STRATTON AVE, APT. 214, EDEN PRAIRIE, MN 55344-4452
(952) 944-1057
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
33610
MN
Other
Enumeration date
03/23/2006
Last updated
07/08/2007
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