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Individual

MARC RICKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2615 FAIRWAY ST, DICKINSON, ND 58601-2590
(701) 456-6004
Mailing address
1005 5TH AVE W, DICKINSON, ND 58601-3836
(216) 816-6662

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
098853
OH
208000000X
Pediatrics Physician
Primary
12730
ND

Other

Enumeration date
03/14/2009
Last updated
03/25/2022
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