Individual
MARILYN AENCHBACHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
700 W IRONWOOD DR STE 350, COEUR D ALENE, ID 83814-4487
(208) 625-5222
(208) 625-5223
Mailing address
2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814-6051
(208) 625-5222
(208) 625-5223
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA-2011
ID
Other
Enumeration date
09/02/2019
Last updated
04/25/2024
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