MARK C AGRE MD

IMPACT PHYSICAL MEDICINE AND AQUATIC CENTER

Dr MARK C AGRE MD is a male medical professional, specializing in Physical Medicine And Rehabilitation. He graduated in 1990 from University Of Minnesota Medical School.

Contact

IMPACT PHYSICAL MEDICINE AND AQUATIC CENTER

1600 UNIVERSITY AVE
SUITE 10A
SAINT PAUL
MN
551043828

Tel: 6516410688

MARK C AGRE MD Information

Npi 1902919723
Pac Id 2961458765
Professional Enrollment Id I20050324000673
Last Name AGRE
First Name MARK
Middle Name C
Suffix
Gender M
Credential MD
Medical School Name UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduation Year 1990
Primary Specialty PHYSICAL MEDICINE AND REHABILITATION
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Secondary Specialty 4
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Organization Legal Name IMPACT PHYSICAL MEDICINE AND AQUATIC CENTER
Group Practice Pac Id 0840287975
Number Of Group Practice Members 12
Line 1 Street Address 1600 UNIVERSITY AVE
Line 2 Street Address SUITE 10A
Marker Of Address Line 2 Suppression
City SAINT PAUL
State MN
Zip Code 551043828
Phone Number 6516410688
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
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Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
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Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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