Individual
MARK PAPPENFUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
10824 STANLEY AVE S, BLOOMINGTON, MN 55437-3333
(651) 699-4169
Mailing address
PO BOX 385523, MINNEAPOLIS, MN 55438-5523
(651) 699-4169
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2508
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
061328200
—
MN
Enumeration date
03/21/2006
Last updated
07/08/2007
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