Individual
MARK DAVID RABINOVITCH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5100 GAMBLE DR, STE 100 MAIL STOP 31200A, SAINT LOUIS PARK, MN 55416-1582
(952) 593-8777
(952) 595-6408
Mailing address
8100 34TH AVE S, 21110Q, BLOOMINGTON, MN 55425-1672
(952) 883-7961
(952) 883-5395
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
23076
MN
Other
Enumeration date
02/21/2006
Last updated
07/08/2007
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