NPI Details | |
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NPI | 1649445669 |
Gender | Female |
Enumeration Date | 04/30/2008 |
Last Updated | 12/02/2015 |
Entity Type | Individual |
Active | Over 9 years ago |
Practice Location | |
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3500 TOWER AVE ESSENTIA HEALTH ST, MARY'S-SUPERIOR CLINIC SUPERIOR WI, 54880-4491, US |
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Phone | (715) 817-7100 |
Fax |
Business Location | |
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3500 TOWER AVE ESSENTIA HEALTH ST, MARY'S-SUPERIOR CLINIC SUPERIOR WI, 54880-4491, US |
|
Phone | (715) 817-7100 |
Fax | (218) 730-2363 |
Toxanomy | |
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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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