Individual
DR. MICHAEL ROBERT MARCHETTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1511 BROADWAY, BOX 84, WHEATON, MN 56296-1040
(320) 563-4800
Mailing address
1511 BROADWAY, BOX 84, WHEATON, MN 56296-1040
(320) 563-4800
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8915
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9547
—
MN
Enumeration date
12/06/2005
Last updated
10/17/2007
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