person
Mark Mogensen, PA-C
Medical Physician Assistant in Lake View, Iowa
NPI 1881679900

Mark Mogensen is a Medical Physician Assistant based in Lake View, IA and is specialized in Medical. Mark Mogensen practices in Lake View, IA and has the professional credentials of PA-C. The NPI Number for Mark Mogensen is 1881679900 and holds a License No. 001660 (Iowa).

The current practice location address for Mark Mogensen is 1160 3Rd St, Lake View, IA and can be reached out via phone at 712-657-8555 and via fax at 712-657-2002.

Location: 1160 3Rd St, Lake View, IA, 51450-7474
person
Provider Profile Details
NPI Number
1881679900
Provider Name
Mark Mogensen
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
1160 3Rd St, Lake View, IA, 51450-7474
Phone Number
712-657-8555
Fax Number
712-657-2002
Provider Enumeration Date
12/12/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1160 3Rd St
City
State
Zip
51450-7474
Phone Number
712-657-8555
Fax Number
712-657-2002
person
Provider Business Mailing Address Details
Address
1160 3Rd St
City
State
Zip
51450-7474
Phone Number
712-657-8555
Fax Number
712-657-2002
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
001660 (Iowa)
Definition
Definition to come...
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