Provider Demographics
NPI:1780343707
Name:FRENCH, MARK ALLAN
Entity type:Individual
Prefix:MR
First Name:MARK
Middle Name:ALLAN
Last Name:FRENCH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:808 W 5TH ST APT 202
Mailing Address - Street 2:
Mailing Address - City:GRAFTON
Mailing Address - State:ND
Mailing Address - Zip Code:58237-1320
Mailing Address - Country:US
Mailing Address - Phone:515-408-9903
Mailing Address - Fax:
Practice Address - Street 1:809 W 12TH ST APT 106
Practice Address - Street 2:
Practice Address - City:GRAFTON
Practice Address - State:ND
Practice Address - Zip Code:58237-2101
Practice Address - Country:US
Practice Address - Phone:515-408-9903
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-17
Last Update Date:2021-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant