Individual
ROSE MCDONALD MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2626 EAST 82ND STREET, SUITE 180, BLOOMINGTON, MN 55425-4503
(952) 814-7400
(952) 853-0966
Mailing address
2626 EAST 82ND STREET, SUITE 180, BLOOMINGTON, MN 55425-4503
(952) 814-7400
(952) 853-0966
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R168412-4
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A114982000
—
MN
Enumeration date
04/11/2017
Last updated
04/11/2017
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