Individual
MICHAEL F MARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
400 E 3RD ST, ESSENTIA HEALTH DULUTH CLINIC, DULUTH, MN 55805-1951
(218) 786-8364
Mailing address
400 E 3RD ST, ESSENTIA HEALTH DULUTH CLINIC, DULUTH, MN 55805-1951
(218) 786-8364
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
220118
AZ
367500000X
Certified Registered Nurse Anesthetist
Primary
R1321393
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013804500
—
MN
01
—
256P4MA
BCBS
MN
05
—
588268
—
AZ
Enumeration date
09/14/2006
Last updated
11/29/2022
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