IndividualActive
Mark Juckett, MD
NPI 1750357604 · Hematology (Internal Medicine) Physician · Minneapolis, MN
Provider details
- NPI number
- 1750357604
- Entity type
- Individual
- Primary specialty
- Hematology (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 35344 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
2450 Riverside Ave
Minneapolis, MN 55454-1450
Phone: (612) 672-6000
Fax: (612) 273-4098
Approximate (ZIP-level) locationGet directions
Mailing address
2450 Riverside Ave
Minneapolis, MN 55454-1450
Additional practice locations (1)
- 600 Highland AveMadison, WI 53792Phone: (608) 265-1700Fax: (608) 266-6020
Registry dates
- Enumerated
- 2006-02-28
- Last updated
- 2021-02-16
- Certified
- 2021-02-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.