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Individual

MARK RICHARD SCHLEISS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
47452
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0590810
IA
01
1043104
PREFERRED ONE
MN
01
132663
UCARE
MN
01
2327061
ARAZ/PPO
MN
01
2327064
ARAZ
MN
05
34522000
WI
05
847935600
MN
01
92-00185
MEDICA CHOICE
MN
01
92-12094
MEDICA PRIMARY
MN
01
HP49830
HEALTH PARTNERS
MN
Enumeration date
10/20/2006
Last updated
04/18/2012
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