Individual
MARCUS JAMES DUVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10651 165TH ST W, LAKEVILLE, MN 55044-5670
(952) 435-3553
Mailing address
10651 165TH ST W, LAKEVILLE, MN 55044-5670
(612) 670-0920
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
1157
MN
213ES0103X
Foot & Ankle Surgery Podiatrist
SC007116
PA
Other
Enumeration date
06/29/2020
Last updated
12/07/2023
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