Mark D Seaburg
Internal Medicine in Minneapolis, MN. Individual provider (NPI-1).
NPI number1790762391
StatusActive
Last updated in NPPESMar 7, 2012
Details
- NPI
- 1790762391
- Entity type
- Individual (NPI-1)
- Name
- Mark D Seaburg
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 27, 2005
- Last updated
- Mar 7, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 30636 | MN | Yes |
Practice location
2001 Blaisdell AveMinneapolis, MN 55404-2414
Phone 952-993-8000 · Fax 952-993-8039
Mailing address
3800 Park Nicollet BlvdCredentialing
St Louis Park, MN 55416-2527
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