Individual
MARK CONRAD NEUSTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 E 3RD ST, DULUTH, MN 55805-1951
(218) 786-3443
Mailing address
400 E 3RD ST, DULUTH, MN 55805-1951
(218) 786-3443
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
32208
MN
207RC0000X
Cardiovascular Disease Physician
34358
WI
207RI0011X
Interventional Cardiology Physician
32208
MN
207RI0011X
Interventional Cardiology Physician
34358
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
932392900
—
MN
Enumeration date
08/21/2006
Last updated
05/05/2011
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