Individual
MRS. LEE-ANN CHARLENE MARCHWICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
3065 STATE 371 NW 2, HACKENSACK, ME 56452-0004
(218) 675-5768
Mailing address
PO BOX 4, HACKENSACK, MN 56452
(218) 675-5768
(218) 829-8201
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4295
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105879700
—
MN
01
—
386M0BU
BCBS
MN
Enumeration date
06/27/2005
Last updated
07/06/2015
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