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Individual

MS. INGRA R MARSKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
555 PROSPECT AVE, ESTES PARK, CO 80517-6312
(970) 586-2200
(970) 577-4536
Mailing address
555 PROSPECT AVE, P. O. BOX 2715, ESTES PARK, CO 80517-6312
(970) 586-2200
(970) 577-4536

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-2781
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
15587762
CO
Enumeration date
05/20/2009
Last updated
04/21/2011
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