Individual
MARK RICHARD SCHLEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
516 DELAWARE STREET SE, PWB FOURTH FLOOR, ROOM 4-100, MINNEAPOLIS, MN 55455
(612) 626-6777
Mailing address
720 WASHINGTON AVE SE, UNIVERSITY OF MINNESOTA PHYSICIANS, MINNEAPOLIS, MN 55414-2924
(612) 884-0649
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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