Mark Kenneth Widstrom

  • NPI 1689692758
According to our database, the NPI number for Mark Kenneth Widstrom is 1689692758 and activated since 17 years ago. Mark Kenneth Widstrom is an individual provider who specializes in Obstetrics & Gynecology, and the primary practice location is 400 E 3rd St, Duluth, MN 55805. You can also contact Mark Kenneth Widstrom via telephone number is (218) 786-8364. Provider NPI information was last updated on 05/09/2011.

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Overview of Mark Kenneth Widstrom

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 07/17/2006
  • Last updated: 05/09/2011

Primary Scrop of Practice

  • Taxonomy Code: 207V00000X
  • Specialty: Obstetrics & Gynecology
  • License Number: 45497
  • License State: MN

Provider Mailing Address

  • Address: 400 E 3rd St
    Duluth, MN 55805
  • Phone: 218-786-8364
  • Fax:

Provider Practice Location

  • Address: 400 E 3rd St
    Duluth, MN 55805
  • Phone: 218-786-8364
  • Fax:

Scope of Practice

  • Taxonomy Code: 207V00000X
  • Specialty: Obstetrics & Gynecology
  • License Number: 45497
  • License State: MN
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 34348400
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: WI
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Mark Kenneth Widstrom?
  • A: The npi number for Mark Kenneth Widstrom is 1689692758.
  • Q: What are Mark Kenneth Widstrom's specialties?
  • A: Mark Kenneth Widstrom's specialties are Obstetrics & Gynecology and different specialities.
  • Q: What is the medical license for Mark Kenneth Widstrom?
  • A: The medical license number for Mark Kenneth Widstrom is 45497 and issued in MN in USA.
  • Q: Where is Mark Kenneth Widstrom practice location?
  • A: Mark Kenneth Widstrom is practicing at 400 E 3rd St, Duluth, MN 55805.
  • Q: How to contact Mark Kenneth Widstrom?
  • A: You can contact Mark Kenneth Widstrom via 218-786-8364.