# MARCIANA GROUP

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Mendota Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134719693
- **Authorized official:** KIMBERLY MILLER (DIRECTOR OF RCM)
- **Authorized official phone:** (248) 331-7908

## Contact information

- **Practice address:** 16759 DIAMONTE PATH, LAKEVILLE, MN 55044-6154
- **Practice address phone:** (651) 398-4968
- **Mailing address:** PO BOX 779348, CHICAGO, IL 60677-0440
- **Mailing address phone:** (888) 402-0202

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WW0000X | Wound Care Registered Nurse | — | NULL | — |
| 163WW0000X | Wound Care Registered Nurse | — | — | — |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/19/2021
- **Last updated:** 09/04/2026