Individual
MARK BRIAN OLMSCHEID COMNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5200 FAIRVIEW BLVD, WYOMING, MN 55092-8013
(651) 982-7000
Mailing address
5200 FAIRVIEW BLVD, WYOMING, MN 55092-8013
(651) 982-7000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
44941
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0406676
MEDICA HEALTH PLANS
—
01
—
1041077
PREFERRED ONE
—
01
—
143209
UCARE
—
01
—
2121656
ARAZ GROUP AMERICAS PPO
—
01
—
81604
CHAMPUS
—
01
—
842S4CO
BLUE CROSS BLUE SHIELD
—
01
—
882927600
MEDICAL ASSISTANCE
—
05
—
882927600
—
MN
01
—
92204
ONE HEALTH PLAN GREAT WES
—
01
—
EFF52704
MMSI
—
01
—
HP42375
HEALTH PARTNERS
—
Enumeration date
10/14/2005
Last updated
06/10/2020
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