Individual
DR. MICHAEL MARCY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
VA OUTPATIENT CLINIC, APPLETON, WI 54914
(920) 831-7900
Mailing address
N3594 SUNSET LN, NEW LONDON, WI 54961-8846
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
6301008295
MI
103T00000X
Psychologist
Primary
859-057
WI
Other
Enumeration date
07/17/2006
Last updated
07/08/2007
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