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Individual

MARK RAYMOND HIGHTOWER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2024 S 6TH ST, BRAINERD, MN 56401-4529
(218) 828-7101
Mailing address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940
(701) 364-8000

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
61942
MN

Other

Enumeration date
07/18/2012
Last updated
07/21/2022
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