Individual
TABITHA MANERO MAREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
775 PRAIRIE CENTER DR STE 400, EDEN PRAIRIE, MN 55344-7322
(952) 428-0300
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-9000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
25232
MS
207Q00000X
Family Medicine Physician
Primary
79086
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09072247
—
MS
Enumeration date
06/11/2014
Last updated
08/14/2025
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