Individual
MARILYN SUSAN JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
410 CHURCH ST SE, BOYNTON HEALTH SERVICE, MINNEAPOLIS, MN 55455-0340
(612) 625-5187
(612) 625-0902
Mailing address
410 CHURCH ST SE, BOYNTON HEALTH SERVICE, MINNEAPOLIS, MN 55455-0340
(612) 625-5187
(612) 625-0902
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
21274
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
013847
FAIRVIEW
MN
05
—
0541011
—
IA
01
—
07-24902
MEDICA-CHOICE
MN
01
—
0770062
MEDICA-PRIMARY
MN
01
—
1000089
PREFERRED ONE
MN
01
—
100734
U CARE
MN
05
—
10387
—
ND
01
—
2T433JO
BCBS
MN
05
—
30199300
—
WI
01
—
764324
ARAZ
—
05
—
7777470
—
SD
01
—
HP16488
HEALTH PARTNERS
MN
Enumeration date
10/02/2006
Last updated
07/08/2007
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