NPI 1093952657
Mark Bryan Rother, BCHIS
Practice location
- Address
- 12751 County Road 5 Suite 198, Burnsville, MN 55337-2263
- Phone
- (952) 808-9079
- Fax
- (952) 882-9190
Registered specialties
Specialist
Primary
Registry record
- NPI
- 1093952657
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 19 Jan 2009
- Record last updated
- 19 Jan 2009
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.