Provider Demographics
NPI:1912717083
Name:WARWICK, MARION CHRISTINE (MD)
Entity type:Individual
Prefix:
First Name:MARION
Middle Name:CHRISTINE
Last Name:WARWICK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1952 E RIVER TER
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55414-3672
Mailing Address - Country:US
Mailing Address - Phone:612-308-8229
Mailing Address - Fax:
Practice Address - Street 1:1952 E RIVER TER
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55414-3672
Practice Address - Country:US
Practice Address - Phone:612-308-8229
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-10
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YP2500X
MN30542101YP2500X, 2083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional