Individual
MARK A PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
345 SHERMAN ST, SUITE 100, SAINT PAUL, MN 55102-2401
(651) 251-5500
(651) 251-5555
Mailing address
345 SHERMAN ST, SUITE 100, SAINT PAUL, MN 55102-2401
(651) 251-5500
(651) 251-5555
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
36390
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01010114
PREFERREDONE
MN
01
—
119421
UCARE MN
MN
01
—
2400134
MEDICA
MN
01
—
341296
AMERICA'S PPO
MN
05
—
34489100
—
WI
05
—
542019900
—
MN
01
—
833S5PA
BLUE CROSS BLUE SHIELD MN
MN
01
—
HP17918
HEALTHPARTNERS
MN
Enumeration date
03/17/2006
Last updated
09/20/2012
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