Individual
CARY MARSHALL EFFERTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
106347
MN
207L00000X
Anesthesiology Physician
Primary
55606
MN
207LP2900X
Pain Medicine (Anesthesiology) Physician
65916
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
MN
Enumeration date
05/04/2011
Last updated
12/17/2024
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