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
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | MN26003 (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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- Desseray SimonSpecialist St. Paul, MN NPI 1275712838
- Jacqueline VlietstraSpecialist St. Paul, MN NPI 1275905366
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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.