Provider Demographics
NPI:1740403344
Name:SCHERPING, MARK EDWIN (DC)
Entity type:Individual
Prefix:DR
First Name:MARK
Middle Name:EDWIN
Last Name:SCHERPING
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:7835 MAIN ST
Mailing Address - Street 2:SUITE 230
Mailing Address - City:MAPLE GROVE
Mailing Address - State:MN
Mailing Address - Zip Code:55369-7071
Mailing Address - Country:US
Mailing Address - Phone:763-494-4311
Mailing Address - Fax:763-494-0325
Practice Address - Street 1:7835 MAIN ST
Practice Address - Street 2:SUITE 230
Practice Address - City:MAPLE GROVE
Practice Address - State:MN
Practice Address - Zip Code:55369-7071
Practice Address - Country:US
Practice Address - Phone:763-494-4311
Practice Address - Fax:763-494-0325
Is Sole Proprietor?:No
Enumeration Date:2007-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN003181111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN35003213Medicare ID - Type Unspecified