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Individual

DR. ROBERT LEE MARCACCINI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, PHARM.D.

Contact information

Practice address
3701 12TH ST N STE 100, SAINT CLOUD, MN 56303-2253
(320) 253-7257
(320) 251-2938
Mailing address
1200 6TH AVE N, SAINT CLOUD, MN 56303-2735
(320) 251-2700
(320) 656-7115

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
121293
MN
208200000X
Plastic Surgery Physician
Primary
76540
MN
208200000X
Plastic Surgery Physician
A195410
CA

Other

Enumeration date
08/06/2013
Last updated
01/12/2026
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