According to our database, the NPI number for Mark Korthals OD is 1215091749 and activated since 17 years ago. Mark Korthals OD is an individual provider who specializes in Optometrist, and the primary practice location is 13195 Weaver Lake Rd, Maple Grove, MN 55369. You can also contact Mark Korthals OD via telephone number is (763) 420-5112. Provider NPI information was last updated on 09/04/2015.

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Overview of Mark Korthals OD

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 12/20/2006
  • Last updated: 09/04/2015

Primary Scrop of Practice

  • Taxonomy Code: 152W00000X
  • Specialty: Optometrist
  • License Number: 2972
  • License State: MN

Provider Mailing Address

  • Address: 13195 Weaver Lake Rd
    Maple Grove, MN 55369
  • Phone: 763-420-5112
  • Fax: 763-420-6957

Provider Practice Location

  • Address: 13195 Weaver Lake Rd
    Maple Grove, MN 55369
  • Phone: 763-420-5112
  • Fax: 763-420-6957

Scope of Practice

  • Taxonomy Code: 152W00000X
  • Specialty: Optometrist
  • License Number: 2972
  • License State: MN
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 151668000
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: MN
  • 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 Korthals OD?
  • A: The npi number for Mark Korthals OD is 1215091749.
  • Q: What are Mark Korthals OD's specialties?
  • A: Mark Korthals OD's specialties are Optometrist and different specialities.
  • Q: What is the medical license for Mark Korthals OD?
  • A: The medical license number for Mark Korthals OD is 2972 and issued in MN in USA.
  • Q: Where is Mark Korthals OD practice location?
  • A: Mark Korthals OD is practicing at 13195 Weaver Lake Rd, Maple Grove, MN 55369.
  • Q: How to contact Mark Korthals OD?
  • A: You can contact Mark Korthals OD via 763-420-5112.