Mark T Destache in Saint Paul - Anesthesiology
Mark T Destache - NPI 1023129483
Mark T Destache is a Anesthesiology in Saint Paul, Minnesota. Mark T Destache practices all healthcare services and medical treatments related to Anesthesiology. The NPI Number for Mark T Destache is 1023129483. The last update date is 2022-08-02.
Mark T Destache's current location address is 333 Smith Ave N, Saint Paul, Minnesota. You can contact this provider via phone number 6517350501 and fax number 6517351870. The mailing address for Mark T Destache is 333 Smith Ave N, Saint Paul, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark T Destache |
|---|---|
| Address | 333 Smith Ave N, Saint Paul, Minnesota |
| Phone Number | 6517350501 |
| Fax Number | 6517351870 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1023129483 |
|---|---|
| Provider Enumeration Date | 2006-08-31 |
| Last Updated Date | 2022-08-02 |
Provider Mailing Address Detail
| Address | 333 Smith Ave N |
|---|---|
| City | Saint Paul |
| State | Minnesota (MN) |
| Post Code | 551022344 |
| Phone Number | 6517350501 |
| Fax Number | 6517351870 |
Provider's Primary Taxonomy Detail
| Speciality | Anesthesiology |
|---|---|
| Taxonomy | 207L00000X |
| Licence No | 36159952 |
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Definition: An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 581807900 | MN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Mark T Destache by the Centers for Medicare & Medicaid Services (CMS)?
The Mark T Destache has been assigned the NPI (National Provider Identifier) 1023129483. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Mark T Destache's facilities are situated?
The facilities of Mark T Destache are physically located at the following address: 333 Smith Ave N, Saint Paul, MN, 551022344.
What is Mark T Destache's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mark T Destache's area of specialization is Anesthesiology, and the corresponding taxonomy code that categorizes this field of practice is 207L00000X.
On what date did the Mark T Destache receive the assignment of its 1023129483 from the Centers for Medicare & Medicaid Services?
The Mark T Destache was issued its 1023129483 by the Centers for Medicare & Medicaid Services on 2006-08-31.
As of what date were the Mark T Destache's details last updated?
The information pertaining to the Mark T Destache, including its address, specialty, and other details, was most recently updated on 2022-08-02.