Individual
MARK THOMAS MOBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
109 DOCTORS PARK, SAINT CLOUD, MN 56303
(320) 253-3637
(320) 253-5412
Mailing address
109 DOCTORS PARK, SAINT CLOUD, MN 56303
(320) 253-3637
(320) 253-5412
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
20295
MN
Other
Enumeration date
06/02/2006
Last updated
08/31/2012
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