Mark K Thalacker, CNP

NPI #1063483493 in Woodbury, Minnesota

Provider Information

NPI Number
1063483493
Entity Type
Individual
Name
Mark K Thalacker, CNP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner
Credential
CNP
Enumeration Date
Feb 1, 2006
Last Updated
Feb 26, 2024

Practice Location

Address
1875 WOODWINDS DR
Address 2
SUITE 130
ZIP Code
55125-2298
Phone
(651) 232-0500

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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