Individual
NICHOLAS MARSHALL RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
301 BECKER AVE SW, WILLMAR, MN 56201
(320) 235-4543
Mailing address
301 BECKER AVE SW, WILLMAR, MN 56201-3302
(320) 235-4543
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
63610
MN
Other
Enumeration date
04/19/2014
Last updated
08/08/2018
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