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Individual

DR. MARLENE MICHELE CORRIERE-BRANSKY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
651 MEMORIAL DR, POCATELLO, ID 83201-4071
(208) 239-1000
Mailing address
850 HIDDEN ESTATES LN, SAINT ANTHONY, ID 83445-5519
(208) 624-4719

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M-9749
ID
208000000X
Pediatrics Physician
M-9749
ID

Other

Enumeration date
02/02/2007
Last updated
03/15/2010
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