Individual provider · Type 1 NPI

Mark Mammel, MD

Specialist · St. Paul, MN

NPI number 1720047582 Active

Practice location

347 Smith Ave N, Suite 505
St. Paul, MN 55102-2387

Fax (651) 220-7777

Mailing address

26 Apple Orchard Rd
St. Paul, MN 55110-1209

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XMN26003 (MN)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1720047582

Mark Mammel, MD's National Provider Identifier is 1720047582, issued on Mar 21, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in St. Paul, MN. The record was last updated on Jul 13, 2026.