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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARK KORTHALS, OD

Active

MARK KORTHALS, OD is a Optometrist healthcare provider located in MAPLE GROVE, Minnesota. NPI 1215091749 is currently active in the NPPES registry. Verify at CMS.

Optometrist · MAPLE GROVE, MN

Registration Details

NPI Number
1215091749
Provider Type
Individual
Gender
Male
NPI Issued
Dec 20, 2006 (19.646589489979 yrs)
Last Updated
Sep 4, 2015
License
2972 (MN)

Practice Information

Address
13195 WEAVER LAKE RD
MAPLE GROVE, MN, 553699410
Browse MN providers · Browse ZIP 55369
Phone
7634205112
Fax
7634206957
Primary Specialty
Optometrist
152W00000X

Other Optometrist Providers in MAPLE GROVE, MN

Name Credential NPI
SCOTT A FRICK OD 1043214091
KATIE E OLINECK OD 1669476610
DR. BRIAN J HAMANN OD 1700864667
MRS. MICHELLE MARIE MARTIN O.D. 1386652907
REBECCA LOERZEL O.D. 1396848206
DR. BRAD ALAN WEEKS O.D. 1073694873
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.