Individual
MR. MARK LOUIS OVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C. PED.
Contact information
Practice address
6363 FRANCE AVE S, SUITE 110, EDINA, MN 55435-2129
(952) 929-7717
(952) 929-4535
Mailing address
6363 FRANCE AVE S, SUITE 110, EDINA, MN 55435-2129
(952) 929-7717
(952) 929-4535
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
10/25/2007
Last updated
10/25/2007
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