Phillip Mark Marty, DC

NPI #1275547689 in Excelsior, Minnesota

Provider Information

NPI Number: 1275547689
Entity Type: Individual
Name: Phillip Mark Marty, DC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Credential: DC
Enumeration Date: Jul 28, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 464 SECOND STREET
Address 2: STE 200
City: Excelsior
State: Minnesota
ZIP Code: 55331
Phone: (952) 474-4121

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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