Mark Moffa is a Specialist based in Arden Hills, MN. Mark Moffa practices in Arden Hills, MN. The NPI Number for Mark Moffa is 1134354137 and holds a License No. (Minnesota).
The current practice location address for Mark Moffa is 1903 County Road D W, Arden Hills, MN and can be reached out via phone at 612-701-9549.
Location: 1903 County Road D W, Arden Hills, MN, 55112
Provider Profile Details
NPI Number
1134354137
Provider Name
Mark Moffa
Credential
Provider Entity Type
Individual
Gender
Male
Address
1903 County Road D W, Arden Hills, MN, 55112
Phone Number
612-701-9549
Fax Number
Provider Enumeration Date
05/19/2009
Last Update Date
03/09/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MARK1961 | 01 | MN | PROSTHETICS |
Provider Business Practice Location Address Details
Address
1903 County Road D W
City
State
Zip
55112-3512
Phone Number
612-701-9549
Fax Number
Provider Business Mailing Address Details
Address
1903 County Road D W
City
State
Zip
55112-3512
Phone Number
612-701-9549
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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