Individual
JASCHA MARCHUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
606 24TH AVE S, SUITE 200, MINNEAPOLIS, MN 55454-1455
(612) 625-2495
Mailing address
413 SOUTHBROOK CIR, MANKATO, MN 56001-4783
(218) 929-1599
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/16/2015
Last updated
02/16/2015
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