Individual
MARK D MCALISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
A.T.P.
Contact information
Practice address
1002 MAINSTREET, SUITE 100, HOPKINS, MN 55343-9415
(952) 935-1515
(952) 935-3050
Mailing address
1002 MAINSTREET, SUITE 100, HOPKINS, MN 55343-9415
(952) 935-1515
(952) 935-3050
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
2227423
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
514130300
—
MN
01
—
83M68TR
BCBS
MN
Enumeration date
04/11/2007
Last updated
04/12/2012
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