| NPI Details | |
|---|---|
| NPI | 1649445669 |
| Gender | Female |
| Enumeration Date | 04/30/2008 |
| Last Updated | 12/02/2015 |
| Entity Type | Individual |
| Active | Over 9 years ago |
| Practice Location | |
|---|---|
| 3500 TOWER AVE ESSENTIA HEALTH ST, MARY'S-SUPERIOR CLINIC SUPERIOR WI, 54880-4491, US |
|
| Phone | (715) 817-7100 |
| Fax | |
| Business Location | |
|---|---|
| 3500 TOWER AVE ESSENTIA HEALTH ST, MARY'S-SUPERIOR CLINIC SUPERIOR WI, 54880-4491, US |
|
| Phone | (715) 817-7100 |
| Fax | (218) 730-2363 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 101YM0800X |
| License State | |
| License Number | |
| Remove 1649445669 NPI Number | |
According to our database, Marcia Domecq NPI is 1649445669, taxonomy code is 101YM0800X Marcia Domecq physically located at 3500 Tower Ave, Superior WI, 54880-4491. NPI Number Marcia Domecq has the Individual type.
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1649445669 NPI number is provided on an as is basis without warranty of any kind. 1649445669 is maintained by the National Plan & Provider Enumeration System. The contents of Marcia Domecq are for informational purposes only.
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