MR. Mark J Thibault, MD

NPI #1679507776 in Sartell, Minnesota

Provider Information

NPI Number
1679507776
Entity Type
Individual
Name
MR. Mark J Thibault, MD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Medicine & Rehabilitation
Credential
MD
Enumeration Date
Jul 11, 2006
Last Updated
Feb 24, 2021

Practice Location

Address
1901 CONNECTICUT AVE S
ZIP Code
56377-2554
Phone
(320) 259-4100

Specialties & Taxonomy Codes

Specialty
Physical Medicine & Rehabilitation

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