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Individual

RYAN MARECK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DNP

Contact information

Practice address
130 1ST ST NE, RICHMOND, MN 56368
(320) 597-2122
Mailing address
200 W 1ST ST, PAYNESVILLE, MN 56362-1445
(320) 243-3767

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
651118
MN
363LF0000X
Family Nurse Practitioner
Primary
6053
MN

Other

Enumeration date
08/02/2018
Last updated
07/18/2022
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