MARK CONRAD GREGERSON MD
NPI 1508809930
Orthopaedic Surgery in Moose Lake, MN

Active since June 14, 2006
4572 COUNTY ROAD 61, MOOSE LAKE, MN 55767(218) 485-4481 Get Directions Write a Review

NPPES record last updated: November 1, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mark Conrad Gregerson Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK CONRAD GREGERSON MD (NPI 1508809930) is an individual orthopaedic surgery provider in Moose Lake, Minnesota, licensed in Minnesota (29943) and active in the NPI registry since June 2006. He maintains a secondary practice location in Glencoe.

NPPES Registry Identity

NPI1508809930
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameMARK CONRAD GREGERSONCredential: MD
Location Address4572 COUNTY ROAD 61Moose Lake, MN 55767-9401
Mailing Address4572 County Road 61Moose Lake, MN 55767-9401 · (218) 485-4481
Sole ProprietorNo
Enumeration DateJune 14, 2006
Last NPPES UpdateNovember 1, 2019
NPI 1508809930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in MN · 29943
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
4572 COUNTY ROAD 61, Moose Lake, MN 55767

Secondary Practice Location 1

Location 11805 Hennepin Ave NGlencoe, MN 55336-1416 · Phone (320) 864-3121

Other Identifiers 1

Medicaid441280000MN

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
4572 COUNTY ROAD 61
MOOSE LAKE, MN 55767
Occupational Therapist
4572 COUNTY ROAD 61
MOOSE LAKE, MN 55767
Nurse Practitioner (Family)
4572 COUNTY ROAD 61
MOOSE LAKE, MN 55767
Occupational Therapist
4572 COUNTY ROAD 61
MOOSE LAKE, MN 55767
General Acute Care Hospital (Critical Access)
4572 COUNTY ROAD 61
MOOSE LAKE, MN 55767
Family Medicine
4572 COUNTY ROAD 61
MOOSE LAKE, MN 55767
Physical Medicine & Rehabilitation
4572 COUNTY ROAD 61
MOOSE LAKE, MN 55767
Nurse Anesthetist, Certified Registered
4572 COUNTY ROAD 61
MOOSE LAKE, MN 55767

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Gregerson's NPI number?

The NPI number for Mark Gregerson is 1508809930. It was assigned to this individual provider in the NPPES registry on June 14, 2006.

Where is Mark Gregerson located?

Mark Gregerson practices at 4572 County Road 61, Moose Lake, MN 55767. The listed phone number is (218) 485-4481.

What is Mark Gregerson's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

When was this NPI record last updated?

The NPPES record for Mark Gregerson was last updated on November 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.