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Phillip Mark Marty, DC
Chiropractor in Excelsior, Minnesota
NPI 1275547689

Phillip Mark Marty is a Chiropractor based in Excelsior, MN. Phillip Mark Marty practices in Excelsior, MN and has the professional credentials of DC. The NPI Number for Phillip Mark Marty is 1275547689 and holds a License No. 2470 (Minnesota).

The current practice location address for Phillip Mark Marty is 464 Second Street, Excelsior, MN and can be reached out via phone at 952-474-4121 and via fax at 952-474-8391.

Location: 464 Second Street, Excelsior, MN, 55331
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275547689
Provider Name
Phillip Mark Marty
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
464 Second Street, Excelsior, MN, 55331
Phone Number
952-474-4121
Fax Number
952-474-8391
Provider Enumeration Date
07/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1D866MA 01 MN BCBS
institution
Provider Business Practice Location Address Details
Address
464 Second Street
City
Excelsior
State
Minnesota
Zip
55331
Phone Number
952-474-4121
Fax Number
952-474-8391
person
Provider Business Mailing Address Details
Address
464 Second Street
City
Excelsior
State
Minnesota
Zip
55331
Phone Number
952-474-4121
Fax Number
952-474-8391
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
2470 (Minnesota)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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