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1106 East College Dr Marshall MN 56258 | |
| (507) 537-1052 | |
| (507) 537-0349 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1106 East College Dr, Marshall, Minnesota |
| Authorized Official Name and Position | Andrew Frerich (OWNER) |
| Authorized Official Contact | 5075371052 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1106 East College Dr Marshall MN 56258 Ph: (507) 537-1052 | 1106 East College Dr Marshall MN 56258 Ph: (507) 537-1052 |
| NPI Number | 1427137629 |
|---|---|
| Provider Enumeration Date | 11/06/2006 |
| Last Update Date | 01/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427137629 | NPI | - | NPPES |
| 113322500 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D10218 (Minnesota) | Primary |
Duraiappa Dental Services Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 304 W Lyon St, Po 448, Marshall, MN 56258 Phone: 507-532-2233 Fax: 507-532-2234 | |
Michael R Thomas Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1511 Carlson St., Marshall, MN 56258 Phone: 507-532-3353 Fax: 507-532-3485 | |
H&l Orthodontics, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 513 Jewett St, Marshall, MN 56258 Phone: 507-532-5789 Fax: 507-532-0686 | |
Anthony Parisek, Dds, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 Jewett St, Marshall, MN 56258 Phone: 507-537-9667 |