Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARILYN MARIE KOBERNUSZ
Active Sole ProprietorMARILYN MARIE KOBERNUSZ is a Eyewear Supplier healthcare provider located in SPENCER, South Dakota. NPI 1770152761 is currently active in the NPPES registry. Verify at CMS.
Eyewear Supplier · SPENCER, SD
Registration Details
- NPI Number
- 1770152761
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 23, 2021 (5.1520806045271 yrs)
- Last Updated
- Jul 20, 2021
- Sole Proprietor
- Yes
Practice Information
- Address
-
43318 SD HIGHWAY 38SPENCER, SD, 573745403Browse SD providers · Browse ZIP 57374
- Phone
- 6054211818
- Primary Specialty
-
Eyewear Supplier
332H00000X
- Additional Specialty
- Eyewear Supplier
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.