Individual
ASHLEE ELLEN MARYNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
407 E 3RD ST, ESSENTIA HEALTH DULUTH CLINIC, DULUTH, MN 55805-1950
(218) 786-4000
Mailing address
407 E 3RD ST, ESSENTIA HEALTH ST. MARY'S MEDICAL CENTER, DULUTH, MN 55805-1950
(218) 786-4000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
12279-24
WI
225100000X
Physical Therapist
Primary
8977
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083956056
—
WI
Enumeration date
03/18/2013
Last updated
10/14/2014
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