Healthcare Provider Details

I. General information

NPI: 1467399485
Provider Name (Legal Business Name): MR. DANIEL PATRICK MARREEL
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 17TH ST SW
AUSTIN MN
55912-1659
US

IV. Provider business mailing address

301 17TH ST SW
AUSTIN MN
55912-1659
US

V. Phone/Fax

Practice location:
  • Phone: 507-460-1200
  • Fax:
Mailing address:
  • Phone: 507-460-1200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number123046988
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: