Whalio Doctors

NPI 1295765451

Stephen M Marchuk, MD

Practitioner Surgery Physician Mankato, MN

Practice location

Address
1230 E. Main Street, Mankato, MN 55002-8674
Phone
(507) 625-1811
Fax
(218) 263-1035
Mailing address
PO Box 8674 1230 E. Main Street Mankato Clinic, LTD, Mankato, MN 55002-8674

Registered specialties

Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 37659 (MN)

Registry record

NPI
1295765451
Entity type
Individual
Sex (as registered)
Male
NPI issued
4 Jul 2006
Record last updated
26 Sep 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.