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

Mr. Mark J Thibault, MD

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1679507776

Mr. Mark J Thibault, MD is a Physical Medicine and Rehabilitation in Sartell, Minnesota. Graduated from University of Minnesota Medical School in 1987, 39 years ago. Practices with Interventional Spine and Pain Physicians PA, a 43-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
39
Trained at
University of Minnesota Medical School
Licensed in
MN
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1901 Connecticut Ave S
Sartell, MN 56377-2554
Phone: (320) 259-4100
Fax: (320) 257-5523
Show map & directions

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

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 32514 (MN)

Record details

NPI number1679507776
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 11, 2006
Last updated in NPPESFebruary 24, 2021
Certification dateFebruary 24, 2021
Mailing address1901 Connecticut Ave S, Sartell, MN 56377-2554

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL MEDICINE AND REHABILITATION
Medical schoolUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated 1987 (39 years in practice)
Group practice Interventional Spine And Pain Physicians Pa — 43 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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