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Individual

MR. MARK A NETZINGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPT

Contact information

Practice address
18415 NE HWY 65, CEDAR, MN 55011
(763) 413-0880
(763) 413-0850
Mailing address
18415 NE HWY 65, CEDAR, MN 55011
(763) 413-0880
(763) 413-0850

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1981
MN
225100000X
Physical Therapist
3582024
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
04T14NE
BLUE CROSS
MN
01
51118
HEALTH PARTNERS
01
6409001
MEDICA
MN
Enumeration date
08/22/2006
Last updated
07/08/2007
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