Individual
GREGORY SCOTT MARCHETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
8799 RIDGE PONDS CIR, VICTORIA, MN 55386-9554
(952) 443-3614
Mailing address
8799 RIDGE PONDS CIR, VICTORIA, MN 55386-9554
(952) 443-3614
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R0963833
MN
Other
Enumeration date
11/10/2006
Last updated
07/08/2007
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