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Mark Nammacher, MD
NPI 1104880905 · Pediatrics Physician · St Louis Park, MN
Mark Nammacher, MD is a Pediatrics Physician provider in St Louis Park, MN (NPI 1104880905).
Provider details
- NPI number
- 1104880905
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- License
- 20132 (MN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6600 Excelsior Blvd
131
St Louis Park, MN 55426-4744
Phone: (952) 401-8290
Fax: (952) 401-8243
Street-level locationGet directions
Mailing address
4711 Cedarwood Rd
Minneapolis, MN 55416-1970
Registry dates
- Enumerated
- 2006-04-17
- Last updated
- 2007-07-09
Frequently asked questions
- What is Mark Nammacher's NPI number?
- Mark Nammacher's National Provider Identifier (NPI) is 1104880905, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mark Nammacher's specialty?
- Mark Nammacher is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Mark Nammacher located?
- Mark Nammacher's practice location on file with NPPES is 6600 Excelsior Blvd, St Louis Park, MN 55426-4744.
- What is Mark Nammacher's phone number?
- The practice phone number listed in the NPPES registry for Mark Nammacher is (952) 401-8290.
- Is Mark Nammacher's NPI active?
- Yes — Mark Nammacher's NPI (1104880905) is active in the NPPES registry as of the last update on 2007-07-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.