Mark Ivan Malterud in St. Paul - General Practice

Mark Ivan Malterud - NPI 1679691273

Mark Ivan Malterud is a General Practice in St. Paul, Minnesota. Mark Ivan Malterud practices all healthcare services and medical treatments related to General Practice. The NPI Number for Mark Ivan Malterud is 1679691273. The last update date is 2007-07-08.

Mark Ivan Malterud's current location address is 770 Mount Curve Blvd., St. Paul, Minnesota. You can contact this provider via phone number 6516992822 and fax number 6516993009. The mailing address for Mark Ivan Malterud is 770 Mount Curve Blvd., St. Paul, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark Ivan Malterud
Address 770 Mount Curve Blvd., St. Paul, Minnesota
Phone Number 6516992822
Fax Number 6516993009
Sole Proprietor Y
Credentials D.D.S.,M.A

NPI Number Detail

NPI Number 1679691273
Provider Enumeration Date 2007-03-26
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 770 Mount Curve Blvd.
City St. Paul
State Minnesota (MN)
Post Code 551161120
Phone Number 6516992822
Fax Number 6516993009

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 9454
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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FAQs about Mark Ivan Malterud

What is the Mark Ivan Malterud's unique identification number?

The Mark Ivan Malterud has been assigned the NPI (National Provider Identifier) Number 1679691273 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical address where Mark Ivan Malterud is geographically located?

The Mark Ivan Malterud is physically situated at the following location: 770 Mount Curve Blvd., St. Paul, MN, 551161120.

What is Mark Ivan Malterud's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Mark Ivan Malterud's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1679691273 to Mark Ivan Malterud?

The Centers for Medicare & Medicaid Services originally issued the 1679691273 to Mark Ivan Malterud on 2007-03-26.

As of what date was the information pertaining to Mark Ivan Malterud, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Mark Ivan Malterud, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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