Individual
BENJAMIN MARCUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
3000 32ND AVE S, FARGO, ND 58103-6132
(701) 231-8011
Mailing address
1621 34TH ST S APT 18, FARGO, ND 58103-8416
(845) 705-7864
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
773-17
ND
Other
Enumeration date
03/28/2018
Last updated
03/28/2018
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