Mark J Stock (NPI# 1962634154, PAC ID# 7719028042) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1962634154 |
| PAC ID by PECOS | 7719028042 |
| Professional Enrollment ID | I20100108000875 |
| Full Name | Mark J Stock |
| Organization Legal Name | LAKES AREA HEALTH CENTER PLLC |
| Address |
967 Lake St S Forest Lake MN 55025-2616 |
| Phone Number | 6514641113 |
| Gender | M |
| Graduation Year | 2009 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9234179664 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 9401 James Ave S, Suite 162, Bloomington, MN 55431-2549 | 6512251102 | LAKES AREA HEALTH CENTER PLLC |
| 967 Lake St S, Forest Lake, MN 55025-2616 | 6514641113 | LAKES AREA HEALTH CENTER PLLC |
| Organization Legal Name | LAKES AREA HEALTH CENTER PLLC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Emily Jean Peterson | Chiropractic | Lakes Area Health Center Pllc | 967 Lake St S, Forest Lake, MN 55025-2616 |
| Lisa Finley | Nurse Practitioner | Lakes Area Health Center Pllc | 967 Lake St S, Forest Lake, MN 55025-2616 |
| Steven G Santino | Physical Medicine and Rehabilitation | Lakes Area Health Center Pllc | 360 Sherman St, Suite 400, Saint Paul, MN 55102-2425 |
| Donald W Kjome | Family Medicine | Lakes Area Health Center Pllc | 360 Sherman St, Suite 400, Saint Paul, MN 55102-2425 |
| Richard Ottomeyer | Chiropractic | Lakes Area Health Center Pllc | 967 Lake St S, Forest Lake, MN 55025-2616 |
| Street Address |
967 LAKE ST S |
| City | FOREST LAKE |
| State | MN |
| Zip | 55025-2616 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Emily Jean Peterson | Chiropractic | Lakes Area Health Center Pllc | 967 Lake St S, Forest Lake, MN 55025-2616 |
| Lisa Finley | Nurse Practitioner | Lakes Area Health Center Pllc | 967 Lake St S, Forest Lake, MN 55025-2616 |
| Richard Ottomeyer | Chiropractic | Lakes Area Health Center Pllc | 967 Lake St S, Forest Lake, MN 55025-2616 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven Z Johnson | Chiropractic | 31 7th Sw Ave, Forest Lake, MN 55025 | |
| Beth R Reitzel | Clinical Social Worker | Canvas Health Inc | 555 W Broadway Ave 2 And, Suite 3, Forest Lake, MN 55025-1066 |
| Barry J Larson | Geriatric Medicine | Geriatric Services of Minnesota LLC | 604 1st Nest, Forest Lake, MN 55025-1207 |
| Kyle Lewis | Chiropractic | Forest Lake Chiropractic Clinic, P.a. | 591 N Shore Dr, Forest Lake, MN 55025-1217 |
| David J Lewis | Chiropractic | Forest Lake Chiropractic Clinic, P.a. | 591 N Shore Dr, Forest Lake, MN 55025-1217 |
| Richard D Bruesch | Optometry | 200 12th St Sw, Wal Mart Vision Center, Forest Lake, MN 55025-1482 | |
| Scott Richard Telander | Optometry | Forest Lake Optometric Center | 20 Lake St N, Suite 101, Forest Lake, MN 55025-2510 |
| Kevin L Bahr | Optometry | Forest Lake Optometric Center | 20 Lake St N, Suite 101, Forest Lake, MN 55025-2510 |
| Daniel William Solbrack | Optometry | Forest Lake Optometric Center | 20 Lake St N, Suite 101, Forest Lake, MN 55025-2510 |
| Derek J Scheevel | Physical Therapy | Therapy Partners Inc | 146 Lake St N, Forest Lake, MN 55025-2518 |
| Find all physicians in zip 55025 | |||
| City | FOREST LAKE |
| Zip Code | 55025 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | FOREST LAKE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Mark J Stock.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.