Individual
ELIZABETH C MARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
407 E 3RD ST, DULUTH, MN 55805-1950
(218) 786-3167
(218) 722-8792
Mailing address
615 E SKYLINE PKWY, DULUTH, MN 55805-1145
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R1309014
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
558K0MA
BCBS
MN
Enumeration date
09/13/2006
Last updated
07/08/2007
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