Individual provider · Type 1 NPI

Jascha Marchuk

Student in an Organized Health Care Education/Training Program · Minneapolis, MN

NPI number 1669863494 Active

Practice location

606 24th Ave S, Suite 200
Minneapolis, MN 55454-1455

Call (612) 625-2495 Map

Mailing address

413 Southbrook Cir
Mankato, MN 56001-4783

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1669863494

Jascha Marchuk's National Provider Identifier is 1669863494, issued on Feb 16, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Minneapolis, MN. The record was last updated on Feb 16, 2015.