Individual
DAVID R MARIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
824 ILLINOIS AVENUE, STEVENS POINT, WI 54481
(715) 342-7500
Mailing address
900 ILLINOIS AVENUE, STEVENS POINT, WI 54481
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
106
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42900500
—
WI
Enumeration date
02/21/2007
Last updated
05/23/2008
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