Individual
DR. DAVID DOUGLAS MAREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4300 MARKET PTE DR STE 100, BLOOMINGTON, MN 55435-5435
(952) 767-4574
Mailing address
10350 PLANTATION ELM CV, COLLIERVILLE, TN 38017-8865
(952) 649-1519
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
57739
TN
207P00000X
Emergency Medicine Physician
Primary
77217
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/20/2014
Last updated
06/13/2024
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