Individual
GEORGE MARCUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
134 SOUTHVIEW ST, OWATONNA, MN 55060-3241
(507) 451-1120
(507) 444-6287
Mailing address
2200 NW 26TH ST, OWATONNA, MN 55060-5503
(507) 451-1120
(507) 444-6287
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
43203
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116625500
—
MN
01
—
300004181
MEDICARE - OWATONNA
MN
01
—
300112816
MEDICARE RAILROAD
MN
Enumeration date
12/19/2005
Last updated
10/28/2008
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