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Individual

MARSHALL K. FELLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
1404 85TH AVE N, BROOKLYN PARK, MN 55444-1416
(763) 561-6020
Mailing address
11680 OAKVIEW CT, CHAMPLIN, MN 55316-2624
(763) 427-5315

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2213
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
04452FE-31794FE
BLUE CROSS/ BLUE SHIELD
MN
Enumeration date
10/05/2006
Last updated
07/08/2007
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