MARK MICHAEL RN
Individual Provider (NPI-1)
Active
Registered Nurse, Home Health
Provider Information
- NPI Number
1225660400- Provider Type
- Individual Provider (NPI-1)
- Credentials
- RN
- Status
- Active
Contact & Location
- Address
- 10467 93RD AVE N, MAPLE GROVE, MN, 553694112
- Phone
- (651) 488-4655
- Fax
- (651) 488-4656
Specialties & Taxonomies
Registered Nurse, Home Health
Primary License: MN #1142394