Individual provider · Type 1 NPI

Mark Stock, NP-C

Family Nurse Practitioner · St. Louis Park, MN

NPI number 1962634154 Active

Practice location

5810 Excelsior Blvd
St. Louis Park, MN 55416-2830

Fax (612) 235-6003

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XR 163073-8 (MN)

Family Nurse Practitioner: Definition to come...

7 other providers at this address

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About NPI 1962634154

Mark Stock, NP-C's National Provider Identifier is 1962634154, issued on Aug 20, 2009. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in St. Louis Park, MN. The record was last updated on Jan 22, 2025.