Individual provider · Type 1 NPI

Marilyn Aenchbacher

Surgical Physician Assistant · Coeur D Alene, ID

NPI number 1639727787 Active

Practice location

700 W Ironwood Dr Ste 350
Coeur D Alene, ID 83814-4487

Fax (208) 625-5223

Mailing address

2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA-2011 (ID)

Surgical Physician Assistant: Definition to come...

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About NPI 1639727787

Marilyn Aenchbacher's National Provider Identifier is 1639727787, issued on Sep 2, 2019. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Coeur D Alene, ID. The record was last updated on Apr 25, 2024.