NPI 1174738793

Mark Allen Taylor, IDC

Practitioner Independent Duty Corpsman Minneapolis, MN

Practice location

Address: 5905 34th Ave S, Minneapolis, MN 55450-2900
Phone: (612) 713-4849
Fax: (612) 713-4644

Registered specialties

Independent Duty Corpsman Primary

Other Service Providers Taxonomy 1710I1002X

Other Military Health Care Provider providers in Minnesota →

Registry record

NPI: 1174738793
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 May 2007
Record last updated: 30 Jan 2008

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.