Individual
MISS MARISSA ANN SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1025 MARSH ST, MANKATO, MN 56001
(507) 625-4031
Mailing address
11150 EXECUTIVE ACRES RD, BRAINERD, MN 56401-5929
(218) 316-4185
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
MN
Other
Enumeration date
09/09/2019
Last updated
03/13/2026
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