Charles Noell Marvin JR. MD

NPI 1851346803 - Plastic Surgery - 2082S0105X

NPI Details
NPI 1851346803
Gender Male
Enumeration Date 05/24/2006
Last Updated 04/17/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
17300 5TH AVE N
PLYMOUTH MN, 55447-3594, US
Phone (763) 473-7457
Fax
Business Location
17300 5TH AVE N
PLYMOUTH MN, 55447-3594, US
Phone (763) 473-7457
Fax
Toxanomy
Taxonomy Code 2082S0105X
License State Minnesota
License Number 26991
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According to our database, Dr. Charles Noell Marvin JR. MD NPI is 1851346803, taxonomy code is 2082S0105X and license number is 26991, license state is located at Minnesota. Charles Noell Marvin JR. MD physically located at 17300 5th Ave N, Plymouth MN, 55447-3594. NPI Number Charles Noell Marvin JR. MD has the Individual type.

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1851346803 NPI number is provided on an as is basis without warranty of any kind. 1851346803 is maintained by the National Plan & Provider Enumeration System. The contents of Charles Noell Marvin JR. MD are for informational purposes only.