Individual
STEPHEN M MARCHUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1230 E. MAIN STREET, MANKATO, MN 55002-8674
(507) 625-1811
(218) 263-1035
Mailing address
PO BOX 8674 1230 E. MAIN STREET, MANKATO CLINIC, LTD, MANKATO, MN 55002-8674
(507) 625-1811
(218) 263-1035
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
37659
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32386400
—
WI
Enumeration date
07/04/2006
Last updated
09/26/2011
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