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Contact Information

MARK L NORMAN III, MD
6533 DREW AVE S
EDINA, MN55435-2103
 Phone: 952-927-7138
 Fax: 952-924-4021
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for MARK L NORMAN III · (Male)

NPI # 1538143516
Status Active
Credentials MD
Entity Individual
Enumeration date 12/02/2005
Last updated 10/24/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • MN License # 25882
  • WI License # 26691020
  • MN Medicaid 439875100
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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