Individual
MRS. CARRIE J MARZOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
640 JACKSON ST, SAINT PAUL, MN 55101-2502
(651) 254-0063
(651) 254-5535
Mailing address
8170 33RD AVE S, BLOOMINGTON, MN 55425-4516
(651) 254-0063
(651) 254-5535
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0902
NH
363A00000X
Physician Assistant
Primary
13507
MN
363A00000X
Physician Assistant
PA001104
ME
Other
Enumeration date
08/08/2007
Last updated
11/20/2020
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