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NPI Code Detail

MEDICARE: RACHEL MARIE MARSHALL PA-C

MEDICARE: RACHEL MARIE MARSHALL PA-C
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
1363A00000XPhysician Assistant9573MN

General Provider Information

NPI Number : 1538135934
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL MARIE MARSHALL PA-C
Provider Business Mailing Address
First Line : 4241 JOHNNY CAKE RIDGE RD
Second Line :
City : EAGAN
State : MN
Zip : 55122-2235
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4241 JOHNNY CAKE RIDGE RD
Second Line :
City : EAGAN
State : MN
Zip : 55122-2235
Country : US
Telephone Number : 651-267-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/24/2006
Last Update Date : 12/31/2024

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Directions to “ RACHEL MARIE MARSHALL PA-C” Practice Location

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