Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 11996 | ND |
N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 5101016742 | MI |
NPI | 1396935920 |
---|---|
Provider Name | Dr. Mark David Noel |
First Address | Minot, ND 58702-5010 |
Second Address | Minot, ND 58701 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/07/2007 |
Last Update Date | 07/09/2012 |