Individual
MRS. MARY KAY MARCINIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN,CDE
Contact information
Practice address
512 SKYLINE BLVD, CLOQUET, MN 55720
(218) 828-7661
(218) 828-7657
Mailing address
512 SKYLINE BLVD, COMMUNITY MEMORIAL HOSPITAL, CLOQUET, MN 55720
(218) 828-7661
(218) 878-7657
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN123847-3
MN
Other
Enumeration date
09/06/2013
Last updated
09/06/2013
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