Mark Bryan Rother, BC-HIS

NPI #1093952657 in Burnsville, Minnesota

Provider Information

NPI Number
1093952657
Entity Type
Individual
Name
Mark Bryan Rother, BC-HIS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist
Credential
BC-HIS
Enumeration Date
Jan 19, 2009
Last Updated
Jan 19, 2009

Practice Location

Address
12751 COUNTY ROAD 5
Address 2
SUITE 198
ZIP Code
55337-2263
Phone
(952) 808-9079

Specialties & Taxonomy Codes

Specialty
Specialist

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