Individual
MICHELLE MAROTZKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
32644 EVERGREEN AVE, VESTA, MN 56292-1151
(507) 762-3096
Mailing address
32644 EVERGREEN AVE, VESTA, MN 56292-1151
(507) 762-3096
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L051211-6
MN
Other
Enumeration date
02/03/2011
Last updated
02/03/2011
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