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Individual

MARCUS VERNON MEDALEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
916 MT VIEW RD, RAPID CITY, SD 57702-2521
(605) 343-8577
(605) 343-0071
Mailing address
916 MT VIEW RD, RAPID CITY, SD 57702-2521
(605) 343-8577
(605) 343-0071

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
121
SD

Other

Enumeration date
09/13/2007
Last updated
09/13/2007
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