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Individual

MARIEL NOVACEK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
120 1ST ST S, BUFFALO, MN 55313-1402
(612) 756-9757
Mailing address
1606 PULASKI RD, BUFFALO, MN 55313-2228
(612) 702-1542

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
13595
WI
225100000X
Physical Therapist
Primary
9538
MN

Other

Enumeration date
07/18/2016
Last updated
09/04/2020
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