Dr. Mark T Destache, MD
Dr. Mark T Destache, MD is an Anesthesiology in Saint Paul, Minnesota. Graduated from Indiana University School of Medicine in 1987, 39 years ago. Practices with Northwestern Medical Faculty Foundation, a 4,394-clinician group and accepts Medicare assignment. Licensed in Illinois and Minnesota.
- Years since qualifying
- 39
- Trained at
- Indiana University School of Medicine
- Licensed in
- IL, MN
- In the registry since
- 2006
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
333 Smith Ave NSaint Paul, MN 55102-2344
Phone: (651) 735-0501
Fax: (651) 735-1870
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Anesthesiology Physician (primary) | Taxonomy 207L00000X · Licence 34185 (MN) |
|---|---|
| Anesthesiology Physician | Taxonomy 207L00000X · Licence 036159952 (IL) |
Record details
| NPI number | 1023129483 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | August 31, 2006 |
| Last updated in NPPES | August 2, 2022 |
| Certification date | August 2, 2022 |
| Mailing address | 8681 Eagle Point Blvd, Lake Elmo, MN 55042-8628 |
Medicare enrollment
| Medicare specialty | ANESTHESIOLOGY |
|---|---|
| Medical school | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduated | 1987 (39 years in practice) |
| Group practice | Northwestern Medical Faculty Foundation — 4394 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 4 on file with Medicare |
Other providers in Saint Paul
-
Dr. Katherine Marie Clinch, MD
333 Smith Ave N, Saint Paul, MN 55102-2344 · (651) 735-0501
-
Richard Cochrane, MD
640 Jackson St, Saint Paul, MN 55101-2502 · (651) 254-6456
-
Mariah Calli Dahmen, MD
640 Jackson St, Saint Paul, MN 55101-2595 · (651) 254-3456
-
Dr. Neil M Derechin, MD
333 Smith Ave N, Saint Paul, MN 55102-2344 · (651) 735-0501
-
Dr. Nevin D Dikel, MD
69 Exchange St W, Saint Paul, MN 55102-1004 · (651) 735-0501
-
Dr. Thomas A Dosland, MD
333 Smith Ave N, Saint Paul, MN 55102-2344 · (651) 735-0501
-
Dr. Erik Sethre Eckman, MD
69 Exchange St W, Saint Paul, MN 55102-1004 · (651) 735-0501
-
Dr. Blake A Elmquist, MD
333 Smith Ave N, Saint Paul, MN 55102-2344 · (651) 735-0501