Dr. Mark Eugene Brewer
Chiropractor
3800 Shoreline Dr
Wayzata
, Minnesota 55391-9785
Dr. Mark Eugene Brewer
Chiropractor
3800 Shoreline Dr
Wayzata
, Minnesota 55391-9785
(952) 471-2556
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About
Features
Specialties
- Chiropractor
Languages spoken
- English
Location
First Address
- Dr. Mark Eugene Brewer
- 3800 Shoreline Dr
- Wayzata, MN
- Zip : 55391-9785
- Fax : (952) 471-2556
- Phone : (952) 471-2555
Second Address
- Dr. Mark Eugene Brewer
- 3800 Shoreline Dr
- Wayzata, MN
- Zip : 55391-9785
- Fax : (952) 471-2556
- Phone : (952) 471-2555
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2026 | MN |
National Provider Identifier
| NPI | 1003812991 |
|---|---|
| Provider Name | Dr. Mark Eugene Brewer |
| First Address | Wayzata, MN 55391-9785 |
| Second Address | Wayzata, MN 55391-9785 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/06/2005 |
| Last Update Date | 27/04/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 204228200 | (05) | MN |
| T60584 | (02) | MN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.