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1437261724
MARK WADE RODACKER
GRAND FORKS, ND
NPI
1437261724
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine
(Licence: ND 9611)
Enumeration Date
2006-08-31
Last Update Date
2019-02-25
Business Address
MARK WADE RODACKER MD
1200 S COLUMBIA RD - ALTRU HOSPITAL
GRAND FORKS, ND 58201
Phone number: 701-780-1561
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Mailing Address
MARK WADE RODACKER MD
2401 DEMERS AVE
GRAND FORKS, ND 58201
Phone number: 701-780-1891
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