Mark Raderstorf, - Psychologist in Edina, MN

Mark Raderstorf, is a Psychologist - Counseling based in Edina, Minnesota. Mark Raderstorf is licensed to practice in Minnesota (license number 710) and his current practice location is 7211 Ohms Ln, Edina, Minnesota. He can be reached at his office (for appointments etc.) via phone at (952) 927-0184.

NPI number for Mark Raderstorf is 1912112798 and his current mailing address is 7211 Ohms Ln, Edina, Minnesota. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1912112798.

Contact Information

Mark Raderstorf,
7211 Ohms Ln,
Edina, MN 55439-2148
(952) 927-0184
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMark Raderstorf
GenderMale
SpecialityPsychologist - Counseling
Location7211 Ohms Ln, Edina, Minnesota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1912112798
  • Provider Enumeration Date: 05/14/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mark Raderstorf such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912112798NPI-NPPES
16613OtherMNHEALTHPARTNERS
6215612OtherMNUNITED BEHAVIORAL HEALTH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC1900XPsychologist - Counseling 710 (Minnesota)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mark Raderstorf is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mark Raderstorf,
7211 Ohms Ln,
Edina, MN 55439-2148

Ph: (952) 927-0184
Mark Raderstorf,
7211 Ohms Ln,
Edina, MN 55439-2148

Ph: (952) 927-0184

Reviews and Comments


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