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Individual

MARNIE DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
705 PLEASANT AVE S, PARK RAPIDS, MN 56470-1440
(218) 732-2800
(218) 732-2874
Mailing address
PO BOX 6001, FARGO, ND 58108-6001
(701) 364-8000

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10824
MN
363AS0400X
Surgical Physician Assistant
2914
CO

Other

Enumeration date
10/27/2009
Last updated
11/18/2014
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