Mark Ahlgren in Blaine - Specialist

Mark Ahlgren - NPI 1861556805

Mark Ahlgren is a Specialist in Blaine, Minnesota. Mark Ahlgren practices all healthcare services and medical treatments related to Specialist. The NPI Number for Mark Ahlgren is 1861556805. The last update date is 2007-07-08.

Mark Ahlgren's current location address is 2047 117th Ln Ne, Blaine, Minnesota. You can contact this provider via phone number 7637578086 and fax number 7638624797. The mailing address for Mark Ahlgren is 2047 117th Ln Ne, Blaine, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark Ahlgren
Address 2047 117th Ln Ne, Blaine, Minnesota
Phone Number 7637578086
Fax Number 7638624797
Sole Proprietor Y
Credentials C. PED.

NPI Number Detail

NPI Number 1861556805
Provider Enumeration Date 2006-12-21
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2047 117th Ln Ne
City Blaine
State Minnesota (MN)
Post Code 554495456
Phone Number 7637578086
Fax Number 7638624797

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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FAQs about Mark Ahlgren

What is the unique 10-digit identification code issued to Mark Ahlgren by the Centers for Medicare & Medicaid Services?

The Mark Ahlgren has been assigned the NPI (National Provider Identifier) 1861556805 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete address where Mark Ahlgren is physically located?

The Mark Ahlgren is situated at the following address: 2047 117Th Ln Ne, Blaine, MN 554495456.

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

The Mark Ahlgren's specialized field of practice is Specialist, and the corresponding taxonomy code that categorizes this area of specialization is 174400000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1861556805 to Mark Ahlgren?

The Centers for Medicare & Medicaid Services originally issued the 1861556805 to Mark Ahlgren on 2006-12-21.

As of what date were the details related to Mark Ahlgren most recently updated or revised?

The information pertaining to Mark Ahlgren, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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