Individual
MARK PEDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LP
Contact information
Practice address
102 MARTY DR, BUFFALO, MN 55313
(763) 682-5420
(763) 682-5803
Mailing address
102 MARTY DR, BUFFALO, MN 55313
(763) 682-5420
(763) 682-5803
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP2544
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000260
PREFERRED ONE
MN
01
—
110563
UCARE
MN
01
—
62-20079
MEDICA
MN
01
—
67D66PE
BLUE CROSS BLUE SHIELD
MN
01
—
HP18919
HEALTHPARTNERS
MN
Enumeration date
09/21/2006
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us