Individual
BASEM S MARCOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3300 OAKDALE AVE N, ROBBINSDALE, MN 55422-2926
(763) 581-3700
(763) 581-3701
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
57179
WI
2086S0102X
Surgical Critical Care Physician
57179
WI
Other
Enumeration date
09/16/2011
Last updated
06/29/2018
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