NPI 1891902193

Eric Raymond Marvin

Practitioner Orthotist Burnsville, MN

Practice location

Address: 501 E Nicollet Blvd Ll50, Burnsville, MN 55337-6732
Phone: (612) 672-6653
Mailing address: 12108 Allen Dr, Burnsville, MN 55337-3015

Registered specialties

Orthotist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X Licence 2939 (MN)

Other Orthotist providers in Minnesota →

Registry record

NPI: 1891902193
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 May 2007
Record last updated: 8 Jul 2007

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.