Provider Demographics
NPI:1851685077
Name:SEE, MARNIE EISENMAN
Entity Type:Individual
Prefix:MS
First Name:MARNIE
Middle Name:EISENMAN
Last Name:SEE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1316 DOUGLAS AVE # 2
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55403-2904
Mailing Address - Country:US
Mailing Address - Phone:612-250-2066
Mailing Address - Fax:
Practice Address - Street 1:1316 DOUGLAS AVE # 2
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55403-2904
Practice Address - Country:US
Practice Address - Phone:612-250-2066
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-06
Last Update Date:2011-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist