Mark Huttemier LPP

NPI 1619134574 - Psychologist - 103TC1900X

NPI Details
NPI 1619134574
Gender Male
Enumeration Date 05/19/2008
Last Updated 05/19/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
3915 GOLDEN VALLEY ROAD
COURAGE CENTER
GOLDEN VALLEY MN, 55422, US
Phone (763) 520-0516
Fax
Business Location
3915 GOLDEN VALLEY ROAD
COURAGE CENTER
GOLDEN VALLEY MN, 55422, US
Phone (763) 520-0516
Fax
Toxanomy
Taxonomy Code 103TC1900X
License State Minnesota
License Number LPP 0117
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According to our database, Mark Huttemier LPP NPI is 1619134574, taxonomy code is 103TC1900X and license number is LPP 0117, license state is located at Minnesota. Mark Huttemier LPP physically located at 3915 Golden Valley Road, Golden Valley MN, 55422. NPI Number Mark Huttemier LPP has the Individual type.

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1619134574 NPI number is provided on an as is basis without warranty of any kind. 1619134574 is maintained by the National Plan & Provider Enumeration System. The contents of Mark Huttemier LPP are for informational purposes only.