Individual provider · Type 1 NPI
Mark Alan Pederson, DC
Chiropractor · Warren, MN
NPI number
1215045604
Active
Practice location
603 N Main Street
Warren, MN 56762
Fax (218) 745-4049
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 3351 (MN) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Another provider at this address
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About NPI 1215045604
Mark Alan Pederson, DC's National Provider Identifier is 1215045604, issued on Aug 27, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Warren, MN. The record was last updated on Jul 8, 2007.