Individual
DR. MARK DOUGLAS CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
HIGHWAY 1, RED LAKE, MN 56671-0249
(218) 679-3912
(218) 679-0135
Mailing address
HWY 1, 24760 HOSPITAL DRIVE, RED LAKE, MN 56671-0249
(218) 679-3912
(218) 679-0135
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
42179
MN
Other
Enumeration date
07/03/2006
Last updated
07/08/2007
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