MEDICARE: MARIANNE FIKE M.AC., LMT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	CQ-0000015	DE

General Provider Information

NPI Number	:	1174829659
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIANNE FIKE M.AC., LMT

Provider Business Mailing Address
First Line	:	31388 DOGWOOD ESTATES DR
Second Line	:
City	:	DAGSBORO
State	:	DE
Zip	:	19939-4054
Country	:	US
Telephone Number	:	302-236-5385
Fax Number	:

Provider Business Practice Location Address
First Line	:	32895 COASTAL HWY
Second Line	:	SUITE 202
City	:	BETHANY BEACH
State	:	DE
Zip	:	19930-3782
Country	:	US
Telephone Number	:	302-236-5385
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/01/2011
Last Update Date	:	02/01/2011

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