Individual
MARCY ANN FADNESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
911 S MILL ST, DECORAH, IA 52101-2023
(563) 382-1200
(563) 382-1211
Mailing address
PO BOX 96, 911 S. MILL STREET, DECORAH, IA 52101-0096
(563) 382-1200
(563) 382-1211
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
000914
IA
363AM0700X
Medical Physician Assistant
Primary
000914
IA
Other
Enumeration date
08/01/2006
Last updated
04/07/2014
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