Individual
DR. GLEN MARICELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2330 S HIGGINS AVE STE 100, MISSOULA, MT 59801-6923
(406) 728-0222
Mailing address
2330 S HIGGINS AVE STE 100, MISSOULA, MT 59801-6923
(406) 728-0222
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHI-CHI-LIC-6766
MT
Other
Enumeration date
04/29/2021
Last updated
04/29/2021
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