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
- City
- Burnsville
- State
- Minnesota
- ZIP Code
- 55337-2263
- Phone
- (952) 808-9079
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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