Organization
MARK C. ENGASSER, M.D.P.A.
Active
Organization
MARK C. ENGASSER, M.D.P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA M SYKORA (BOOKKEEPER)
(952) 915-8327
Entity
Organization
Contact information
Practice address
2000 PLYMOUTH RD, SUITE 110, MINNETONKA, MN 55305-2366
(952) 920-4333
(952) 920-2561
Mailing address
6600 FRANCE AVE S, SUITE 605, EDINA, MN 55435-1805
(952) 920-4333
(952) 920-2561
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
22841
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2792972
—
MN
Enumeration date
01/09/2008
Last updated
11/19/2008
Update your record
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