Individual
MELISSA ANN MARVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 HEALTHY WAY, OLIVIA, MN 56277-1117
(800) 916-1836
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
74141
MN
207Q00000X
Family Medicine Physician
LL83301
SC
Other
Enumeration date
03/24/2020
Last updated
07/21/2023
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