Individual
MARIANNA SIKSAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2200 NW 26TH ST, OWATONNA, MN 55060-5503
(507) 451-1120
Mailing address
10790 RANCHO BERNARDO RD, SAN DIEGO, CA 92127-5705
(760) 827-7270
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
48053
WI
207Q00000X
Family Medicine Physician
50976
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080017198
MEDICARE
MN
Enumeration date
03/09/2006
Last updated
04/13/2017
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