Provider Demographics
NPI:1417904558
Name:OSWOOD, MARK C (MD)
Entity Type:Individual
Prefix:
First Name:MARK
Middle Name:C
Last Name:OSWOOD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:701 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55415-1623
Mailing Address - Country:US
Mailing Address - Phone:612-873-3000
Mailing Address - Fax:
Practice Address - Street 1:701 PARK AVE
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55415-1623
Practice Address - Country:US
Practice Address - Phone:612-873-6963
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-27
Last Update Date:2023-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN447942085N0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085N0700XAllopathic & Osteopathic PhysiciansRadiologyNeuroradiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN300131581OtherRAILROAD MEDICARE MN
IA0592832Medicaid
WIP00285260OtherRAILROAD MEDICARE WI
MN142120OtherUCARE
MN252823OtherMIDLANDS CHOICE INC
MN59G65OSOtherBLUE CROSS
MNHP34864OtherHEALTHPARTNERS
ND23711OtherBLUE CROSS
MN313788100Medicaid
MN441T8OSOtherBLUE CROSS
MN9239492OtherDAKOTA CARE
MN1030603OtherPREFERRED ONE
MN1601990OtherMEDICA
MN1603222OtherMEDICA
WI34351800Medicaid
MN1621102OtherAMERICA'S PPO
MN300131581OtherRAILROAD MEDICARE MN
MN1601990OtherMEDICA
MN142120OtherUCARE
MN300002813Medicare PIN
MNHP34864OtherHEALTHPARTNERS
MN59G65OSOtherBLUE CROSS
WIP00285260OtherRAILROAD MEDICARE WI