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Individual

DR. MARK DAVID LINDQUIST

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1245 WASHINGTON AVE, DETROIT LAKES, MN 56501
(218) 846-2000
Mailing address
1245 WASHINGTON AVE, DETROIT LAKES, MN 56501
(218) 846-2000

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
29606
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
086868000
MN
01
3T128LI
BCBS
MN
01
HP51371
HEALTHPARTNERS
MN
Enumeration date
10/14/2005
Last updated
12/06/2011
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