Individual
MR. MARK DUANE MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
200 ELM ST N, ONAMIA, MN 56359-7901
(320) 532-3154
(320) 532-3111
Mailing address
200 ELM ST N, ONAMIA, MN 56359-7901
(320) 532-3154
(320) 532-3111
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
8937
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-17254
MEDICA ONAMIA
MN
01
—
122391
UCARE
MN
01
—
520T2MA
BLUE CROSS CLINIC
MN
01
—
520T3MA
BLUE CROSS HOSPITAL
MN
05
—
745392200
—
MN
01
—
HP44081
HEALTH PARTNERS
MN
01
—
NA9091011247
PREFERRED ONE
MN
Enumeration date
05/18/2006
Last updated
02/25/2010
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