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Contact Information

MARK T PHILLIPS
4024 8TH LN
ANOKA, MN55303-1251
 Phone: 507-386-0288
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for MARK T PHILLIPS · (Male)

NPI Number 1245403211
Status Active
Credentials
Entity Individual
Enumeration date 04/10/2008
Last updated 08/15/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • MN License # D12534
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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