Individual
DR. MARK DAVID DEHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1706 LOR RAY DR, NORTH MANKATO, MN 56003-1939
(507) 388-7744
(507) 388-8001
Mailing address
1706 LOR RAY DR, NORTH MANKATO, MN 56003-1939
(507) 388-7744
(507) 388-8001
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2374
MN
111N00000X
Chiropractor
4347
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
230189
CHIRO CARE
MN
01
—
2D596DE
BCBS INDIVIDUAL
MN
01
—
359000346
MEDICARE TRANSACTION ACCESS NUMBER
MN
01
—
958718700
MN CARE
MN
Enumeration date
06/14/2005
Last updated
05/31/2011
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