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1053637223
MARISA ANN SPENCER
WOODBURY, MN
NPI
1053637223
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Former Name
MARISA ANN DEGAETANI
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207RG0100X Internal Medicine, Gastroenterology
(Licence: WI 69162)
Enumeration Date
2010-04-13
Last Update Date
2023-08-11
Business Address
MARISA ANN SPENCER MD
237 RADIO DR STE 210
WOODBURY, MN 55125-4478
Phone number: 612-871-1145
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Mailing Address
MARISA ANN SPENCER MD
PO BOX 14909
MINNEAPOLIS, MN 55414-0909
Phone number: 612-871-1145
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