Provider Demographics
NPI:1932333697
Name:CHAPMAN, MARISA A (MD)
Entity Type:Individual
Prefix:
First Name:MARISA
Middle Name:A
Last Name:CHAPMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:14305 SOUTHCROSS DR W
Mailing Address - Street 2:STE 110
Mailing Address - City:BURNSVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55306-7011
Mailing Address - Country:US
Mailing Address - Phone:651-340-1064
Mailing Address - Fax:651-330-0429
Practice Address - Street 1:6525 BARRIE RD
Practice Address - Street 2:
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55435-2305
Practice Address - Country:US
Practice Address - Phone:952-915-6000
Practice Address - Fax:952-915-6100
Is Sole Proprietor?:No
Enumeration Date:2009-05-11
Last Update Date:2019-03-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MN57186207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology