MR. Mark Louis Overson, C. PED.

NPI #1437338589 in Edina, Minnesota

Provider Information

NPI Number
1437338589
Entity Type
Individual
Name
MR. Mark Louis Overson, C. PED.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Technician, Other
Credential
C. PED.
Enumeration Date
Oct 25, 2007
Last Updated
Oct 25, 2007

Practice Location

Address
6363 FRANCE AVE S
Address 2
SUITE 110
City
Edina
ZIP Code
55435-2129
Phone
(952) 929-7717

Specialties & Taxonomy Codes

Specialty
Technician, Other

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