Daniel Lee Mark is a Sports Medicine in Duluth, Minnesota. Daniel Lee Mark practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Daniel Lee Mark is 1972539955. The last update date is 2011-05-09.
Daniel Lee Mark's current location address is 400 E 3rd St, Duluth, Minnesota. You can contact this provider via phone number 2187868364. The mailing address for Daniel Lee Mark is 400 E 3rd St, Duluth, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Daniel Lee Mark |
|---|---|
| Address | 400 E 3rd St, Duluth, Minnesota |
| Phone Number | 2187868364 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1972539955 |
|---|---|
| Provider Enumeration Date | 2006-06-23 |
| Last Updated Date | 2011-05-09 |
Provider Mailing Address Detail
| Address | 400 E 3rd St |
|---|---|
| City | Duluth |
| State | Minnesota (MN) |
| Post Code | 558051951 |
| Phone Number | 2187868364 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Qs0010X |
| Licence No | 44763 |
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Definition: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 981447700 | MN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Daniel Lee Mark by the Centers for Medicare & Medicaid Services (CMS)?
The Daniel Lee Mark has been assigned the NPI (National Provider Identifier) 1972539955. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Daniel Lee Mark is physically located?
The Daniel Lee Mark is situated at the following address: 400 E 3Rd St, Duluth, MN 558051951.
What is the Daniel Lee Mark's specialty and taxonomy code?
The Daniel Lee Mark's specialty is Sports Medicine, and the corresponding taxonomy code is 207Qs0010X.
On what date did the Centers for Medicare & Medicaid Services issue the 1972539955 to Daniel Lee Mark?
The Daniel Lee Mark received its 1972539955 assignment from the Centers for Medicare & Medicaid Services on 2006-06-23.
When was the information pertaining to Daniel Lee Mark most recently updated or revised?
The details related to Daniel Lee Mark, including its address, specialty, and other relevant information, were last updated or revised on 2011-05-09.