Individual
DR. MITCHELL DICK MARQUIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
106 1ST ST W, FOSSTON, MN 56542-1213
(218) 435-6066
Mailing address
106 1ST ST W, FOSSTON, MN 56542-1213
(218) 435-6066
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2793
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4C423MA
BCBS OF MN
MN
01
—
7068558441
RAILROAD MEDICARE
MN
Enumeration date
03/16/2007
Last updated
07/08/2007
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