Individual
MARK DAVID AHLQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
420 MAIN STREET N, RENVILLE, MN 56284-0606
(320) 329-8395
(320) 329-8397
Mailing address
100 HEALTHY WAY, OLIVIA, MN 56277-1117
(320) 523-1261
(320) 523-8349
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
32093
MN
Other
Enumeration date
03/29/2006
Last updated
11/02/2018
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