Individual
STACENE R MAROUSHEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
701 PARK AVE, G7, MINNEAPOLIS, MN 55415-1623
(612) 873-8511
Mailing address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
38548
MN
Other
Enumeration date
07/19/2006
Last updated
07/29/2007
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