Mark Courtland Agre, MD | |
1600 University Ave W, Suite 10, Saint Paul, MN 55104-3898 | |
(651) 999-1050 | |
Not Available |
Full Name | Mark Courtland Agre |
---|---|
Gender | Male |
Speciality | Physical Medicine And Rehabilitation |
Experience | 34 Years |
Location | 1600 University Ave W, Saint Paul, Minnesota |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902919723 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | 37278 (Minnesota) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Impact Physical Medicine And Aquatic Center | 0840287975 | 9 |
Entity Name | Impact Physical Medicine And Aquatic Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457417131 PECOS PAC ID: 0840287975 Enrollment ID: O20040429000512 |
Mailing Address | Practice Location Address |
---|---|
Mark Courtland Agre, MD 1600 University Ave W, Suite 10, Saint Paul, MN 55104-3898 Ph: (651) 999-1050 | Mark Courtland Agre, MD 1600 University Ave W, Suite 10, Saint Paul, MN 55104-3898 Ph: (651) 999-1050 |
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