Individual
MARK WILLIAM DOYSCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 S MAPLE ST, WACONIA, MN 55387-1791
(952) 777-5553
(952) 442-8055
Mailing address
500 S MAPLE ST, WACONIA, MN 55387-1791
(952) 777-5553
(952) 442-8055
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
28693
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00635188
RR MEDICARE
WI
01
—
03M80DO
BLUE CROSS BLUE SHIELD
MN
01
—
120863
UCARE
MN
01
—
1538184569
MEDICA
MN
05
—
34615600
—
WI
05
—
592777300
—
MN
01
—
960371010258
PREFERRED ONE
MN
01
—
HP42307
HEALTHPARTNERS
MN
Enumeration date
07/12/2006
Last updated
05/09/2024
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