Individual
MARKO VEZMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2530 CHICAGO AVE, STE 500, MINNEAPOLIS, MN 55404-4291
(612) 813-8800
Mailing address
2530 CHICAGO AVE, STE 500, MINNEAPOLIS, MN 55404-4291
(612) 813-8800
(612) 813-8825
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
52899
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52899
STATE LICENSE
MN
Enumeration date
09/28/2010
Last updated
04/06/2020
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