Healthcare Provider Details

I. General information

NPI: 1225969124
Provider Name (Legal Business Name): SUMMER MARSKE
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

756 RAIDER DR
ARCADIA WI
54612-9025
US

IV. Provider business mailing address

501 SE MAIN ST APT 521
MINNEAPOLIS MN
55414-2975
US

V. Phone/Fax

Practice location:
  • Phone: 608-323-3315
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: