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NPI Code Detail

MEDICARE: DR. JOSEPH C MARCEIL PHD

MEDICARE: DR. JOSEPH C MARCEIL PHD
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
1101YM0800XMental Health Counselor738WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1881696631
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSEPH C MARCEIL PHD
Provider Business Mailing Address
First Line : 218 S 1ST ST
Second Line :
City : WATERTOWN
State : WI
Zip : 53094-4404
Country : US
Telephone Number : 920-261-3450
Fax Number :
Provider Business Practice Location Address
First Line : 218 S 1ST ST
Second Line :
City : WATERTOWN
State : WI
Zip : 53094-4404
Country : US
Telephone Number : 920-261-3450
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2005
Last Update Date : 07/09/2007

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