Individual
NATHAN JOSEPH MARCUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1000 W 140TH ST UNIT 201, BURNSVILLE, MN 55337
(952) 808-3000
(952) 808-3001
Mailing address
4200 DAHLBERG DR STE 300, GOLDEN VALLEY, MN 55422-4841
(763) 820-7870
(763) 520-7580
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12746
MN
Other
Enumeration date
06/15/2018
Last updated
06/01/2020
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