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Individual

DR. NICHOLAS JAY MARCUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
400 24TH AVE SE, WILLMAR, MN 56201-5326
(320) 235-9363
Mailing address
400 24TH AVE SE, WILLMAR, MN 56201-5326
(320) 235-9363
(320) 403-5226

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D12464
MN

Other

Enumeration date
08/23/2007
Last updated
11/07/2022
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