Individual
MARK LOVAAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 E 28TH ST STE 401, MINNEAPOLIS, MN 55407-3723
(612) 863-0200
Mailing address
2925 CHICAGO AVENUE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
28546
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
948395100
—
MN
Enumeration date
12/01/2005
Last updated
03/22/2023
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