Individual
DR. MARK DANIEL KOVACS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2355 HWY 36 W., STE. 100, ROSEVILLE, MN 55113
(651) 292-2000
Mailing address
2355 HWY 36 W., STE. 100, ROSEVILLE, MN 55113
(651) 292-2000
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
A114762
CA
2085R0202X
Diagnostic Radiology Physician
37895
SC
2085R0202X
Diagnostic Radiology Physician
Primary
71311
MN
2085R0202X
Diagnostic Radiology Physician
A114762
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
VA
Other
Enumeration date
06/03/2009
Last updated
09/23/2022
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