Individual
MR. MARSHALL TRAWICK III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
150 S MOUNT AUBURN RD STE 342, CAPE GIRARDEAU, MO 63703-4911
(573) 331-5677
(573) 331-5678
Mailing address
PO BOX 801143, KANSAS CITY, MO 64180-1143
(573) 331-5583
(573) 331-5079
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2016017865
MO
363LF0000X
Family Nurse Practitioner
F0516669
MO
Other
Enumeration date
06/01/2016
Last updated
03/03/2021
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