Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Mark Allen Taylor, IDC

Individual provider Independent Duty Corpsman · NPI 1174738793

Mr. Mark Allen Taylor, IDC is an Independent Duty Corpsman in Minneapolis, Minnesota. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

5905 34th Ave S
Minneapolis, MN 55450-2900
Phone: (612) 713-4849
Fax: (612) 713-4644
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X

Record details

NPI number1174738793
Entity typeIndividual (Type 1)
GenderMale
Credentials IDC
Sole proprietorNo
NPI enumeratedMay 14, 2007
Last updated in NPPESJanuary 30, 2008

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