MR. Mark Allen Taylor, IDC
NPI #1174738793 in Minneapolis, Minnesota
Provider Information
- NPI Number
- 1174738793
- Entity Type
- Individual
- Name
- MR. Mark Allen Taylor, IDC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Military Health Care Provider - Independent Duty Corpsman
- Credential
- IDC
- Enumeration Date
- May 14, 2007
- Last Updated
- Jan 30, 2008
Practice Location
- Address
- 5905 34TH AVE S
- City
- Minneapolis
- State
- Minnesota
- ZIP Code
- 55450-2900
- Phone
- (612) 713-4849
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider - Independent Duty Corpsman — Independent Duty Corpsman |
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