Individual
MARK AHLGREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C. PED.
Contact information
Practice address
2047 117TH LN NE, BLAINE, MN 55449-5456
(763) 757-8086
(763) 862-4797
Mailing address
2047 117TH LN NE, BLAINE, MN 55449-5456
(763) 757-8086
(763) 862-4797
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
12/21/2006
Last updated
07/08/2007
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