Individual
DR. MARK ALLEN LUNDEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1720 UNIVERSITY DR S, FARGO, ND 58103-4940
(701) 280-4140
(701) 237-0922
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(701) 237-0922
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
22896
MN
207X00000X
Orthopaedic Surgery Physician
Primary
4392
ND
207X00000X
Orthopaedic Surgery Physician
E7658
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13465
—
ND
Enumeration date
05/15/2006
Last updated
03/25/2022
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