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Individual

SHAUN T. MARCZAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1400 BELLINGER ST, EAU CLAIRE, WI 54703
(715) 838-3311
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-1510
(715) 838-5222

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2011001605
MO
363A00000X
Physician Assistant
Primary
2904-23
WI

Other

Enumeration date
01/24/2011
Last updated
04/23/2021
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