Individual
MS. MARION M MICHENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4020 FOLKER ST, ANCHORAGE, AK 99508
(907) 563-1000
(907) 561-1416
Mailing address
12840 KAYAK PL, ANCHORAGE, AK 99515
(907) 563-1000
(907) 561-1416
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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