MARK KORTHALS, OD
Optometrist
Active
Individual
NPI: 1215091749
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Optometrist | 152W00000X | Yes | 2972 (MN) |
Frequently Asked Questions
NPI 1215091749 is the National Provider Identifier for MARK KORTHALS, OD, a Optometrist provider located in Maple Grove, MN. This NPI was enumerated on December 20, 2006.
MARK KORTHALS, OD practices at 13195 WEAVER LAKE RD, Maple Grove, MN 55369.
Quick Facts
- NPI
- 1215091749
- Type
- Individual
- Enumerated
- Dec 20, 2006
- Last Updated
- Sep 4, 2015
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